G0056 — Optimizing chronic disease management mips value pathways
G0056 is a HCPCS Level II code for optimizing chronic disease management mips value pathways. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2023 and is not valid on new claims.
This code has been terminated
CMS terminated G0056 on December 31, 2023. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
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.
The CMS record for G0056
- Long descriptor
- Optimizing chronic disease management mips value pathways
- Short descriptor
- Opt chronic dx mang mvp
- Added
- January 1, 2022
- Terminated
- December 31, 2023
- 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.
When CMS retired it.
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 G0056
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G0056 is not quite right, the correct code is very often within a few positions of it.
- 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
- G0055Advancing care for heart disease mips value pathways
- 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
- G0064Certified nurse midwife mips specialty set
Questions about G0056
What is HCPCS code G0056?
G0056 is a HCPCS Level II code for optimizing chronic disease management mips value pathways. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G0056?
The CMS HCPCS file marks G0056 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.
Is G0056 still valid?
No. G0056 was terminated on December 31, 2023 and should not be used on new claims.