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G9012

G9012Other specified case management service not elsewhere classified

HCPCSActiveBETOS Y2

G9012 is a HCPCS Level II code for other specified case management service not elsewhere classified. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Special coverage instructions apply

There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Physician fee schedule statusX

Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.

Global period: XXX

Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.

The CMS record for G9012

Long descriptor
Other specified case management service not elsewhere classified

The official wording. This is what the code means.

Short descriptor
Other specified case mgmt

CMS's 28-character form, which is what shows up on a remittance advice.

Added
October 1, 2001

When CMS introduced the code.

BETOS
Y2

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
00 — Not priced by Part B

Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.

Codes adjacent to G9012

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9012 is not quite right, the correct code is very often within a few positions of it.

  • G9004Coordinated care fee, risk adjusted low, initial
  • G9005Coordinated care fee, risk adjusted maintenance
  • G9006Coordinated care fee, home monitoring
  • G9007Coordinated care fee, scheduled team conference
  • G9008Coordinated care fee, physician coordinated care oversight services
  • G9009Coordinated care fee, risk adjusted maintenance, level 3
  • G9010Coordinated care fee, risk adjusted maintenance, level 4
  • G9011Coordinated care fee, risk adjusted maintenance, level 5
  • G9013Esrd demo basic bundle level i
  • G9014Esrd demo expanded bundle including venous access and related services
  • G9016Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]
  • G9017Amantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)terminated
  • G9018Zanamivir, inhalation powder, administered through inhaler, per 10 mg (for use in a medicare-approved demonstration project)terminated
  • G9019Oseltamivir phosphate, oral, per 75 mg (for use in a medicare-approved demonstration project)terminated
  • G9020Rimantadine hydrochloride, oral, per 100 mg (for use in a medicare-approved demonstration project)terminated
  • G9033Amantadine hydrochloride, oral brand, per 100 mg (for use in a medicare-approved demonstration project)terminated

Questions about G9012

What is HCPCS code G9012?

G9012 is a HCPCS Level II code for other specified case management service not elsewhere classified. It sits in the Procedures and Professional Services (Temporary) section.

Does Medicare cover G9012?

The CMS HCPCS file marks G9012 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.

How is G9012 paid under the physician fee schedule?

G9012 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.

HCPCS Level II2026Q3-Jul· effective July 1, 2026