G1004 - Clinical decision support system from a national company
Healthcare Common Procedure Coding System
What is a HCPCS Code?
HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical procedures, supplies, and services for billing purposes. These codes help standardize how healthcare services are reported and billed across different providers and insurance companies.
Detailed Description
This code represents a clinical decision support mechanism provided by a national decision support company, as defined by Medicare's appropriate use criteria program. Clinical decision support systems are computer-based tools that help healthcare providers make better treatment decisions by providing evidence-based recommendations and guidelines at the point of care.
Additional Information
This is an administrative code for tracking the use of clinical decision support tools rather than a direct medical service or procedure code
Category
Healthcare Technology/Decision Support
Medical Specialty
Multi-specialty
Expected Costs
Your actual cost will depend on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- Must be part of Medicare appropriate use criteria program
Why Understanding This Code Matters
On Your Medical Bill
This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.
For Your Health
Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.
Want This Level of Detail on All Your Claims?
Get detailed explanations for every medical code on your Medicare bills. Currently supporting Medicare only.