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HCPCS Level II · Procedures and professional services (temporary)

G9490Cms innovation center models, home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services. (for use only in medicare-approved cms innovation center models); may not be billed for a 30 day period covered by a transitional care management code

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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About G9490

G9490 is an HCPCS Level II code in the G series (procedures and professional services (temporary)), describing cms innovation center models, home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services. (for use only in medicare-approved cms innovation center models); may not be billed for a 30 day period covered by a transitional care management code.

It was added to HCPCS effective 04/01/2016, and its current record took effect 01/01/2018.

Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.

Details

Short description
Cmmi mod home visit
Date added
04/01/2016
Action effective
01/01/2018
BETOS
Z2

Related G94xx codes

Common questions about G9490

Is HCPCS G9490 still valid?

Yes. G9490 is active in the CMS October 2026 HCPCS file.

Does Medicare cover G9490?

Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.