G0055 — Advancing care for heart disease mips value pathways
G0055 is a HCPCS Level II code for advancing care for heart disease mips value pathways. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
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 statusM
Measurement code. Used for reporting purposes only; never paid.
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 G0055
- Long descriptor
- Advancing care for heart disease mips value pathways
- Short descriptor
- Adv care heart dx mvp
- Added
- January 1, 2022
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to G0055
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G0055 is not quite right, the correct code is very often within a few positions of it.
- G0047Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed
- G0048Patients who receive palliative care services any time during the intake period through the end of the measurement year
- G0049With maintenance hemodialysis (in-center and home hd) for the complete reporting month
- G0050Patients with a catheter that have limited life expectancy
- G0051Patients under hospice care in the current reporting month
- G0052Patients on peritoneal dialysis for any portion of the reporting month
- G0053Advancing rheumatology patient care mips value pathways
- G0054Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways
- G0056Optimizing chronic disease management mips value pathwaysterminated
- G0057Proposed adopting best practices and promoting patient safety within emergency medicine mips value pathways
- G0058Improving care for lower extremity joint repair mips value pathways
- G0059Patient safety and support of positive experiences with anesthesia mips value pathways
- G0060Allergy/immunology mips specialty set
- G0061Anesthesiology mips specialty set
- G0062Audiology mips specialty set
- G0063Cardiology mips specialty set
Questions about G0055
What is HCPCS code G0055?
G0055 is a HCPCS Level II code for advancing care for heart disease mips value pathways. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G0055?
The CMS HCPCS file marks G0055 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is G0055 paid under the physician fee schedule?
G0055 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.