G4036 — Urgent care mips specialty set
G4036 is a HCPCS Level II code for urgent care mips specialty set. 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 G4036
- Long descriptor
- Urgent care mips specialty set
- Short descriptor
- Urgent care ss
- 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 G4036
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G4036 is not quite right, the correct code is very often within a few positions of it.
- G4028Podiatry mips specialty set
- G4029Preventive medicine mips specialty set
- G4030Pulmonology mips specialty set
- G4031Radiation oncology mips specialty set
- G4032Rheumatology mips specialty set
- G4033Skilled nursing facility mips specialty set
- G4034Speech language pathology mips specialty set
- G4035Thoracic surgery mips specialty set
- G4037Urology mips specialty set
- G4038Vascular surgery mips specialty set
- G6001Ultrasonic guidance for placement of radiation therapy fieldsterminated
- G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapyterminated
- G6003Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mevterminated
- G6004Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 mevterminated
- G6005Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 11-19 mevterminated
- G6006Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 20 mev or greaterterminated
Questions about G4036
What is HCPCS code G4036?
G4036 is a HCPCS Level II code for urgent care mips specialty set. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G4036?
The CMS HCPCS file marks G4036 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 G4036 paid under the physician fee schedule?
G4036 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.