HCPCSwise

HCPCS codes / G / G0672

G0672

Outcome-aligned payment (oap) for technology-enabled chronic care management of cardio-kidney-metabolic (ckm) conditions (one or more of: diabetes mellitus, chronic kidney disease stage 3a or 3b, atherosclerotic cardiovascular disease); follow-on 12-month period; per month

Code type
HCPCS Level II
Coverage
Special coverage instructions
BETOS category
M5D
Pricing indicator
00
Effective date
20260701
CMS processing noteNO GEOGRAPHIC ADJUSTMENTS PLACED ON THESE SERVICES BECAUSE OF THE VIRTUAL NATURE OF ACCESS SERVICE AND PAYMENT STRUCTURE.
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.