G0672 Insurance Policy Changes

HCPCS G0672 is officially defined as "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." HCPCS G0672 is referenced in 3 tracked payer policy changes from BCBS Michigan and Blue Cross Blue Shield of Rhode Island. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS G0672 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Related

All billing codesJ35909921399214992129920299203

Get alerts for changes like this

Save a search and receive a daily digest whenever a new policy change matches your filters.

Create a free alert