`G9006` Mccd, home monitoring

Coordinated care fee, home monitoring

Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)

Medicare pricing for G9006

Physician Fee Schedule (CY 2026, RVU26D)

Status X: statutory exclusion, not paid under the PFS.

Payer policies and prior authorization for G9006

2 of 2 payer prior-auth lists that name G9006 require prior authorization or set conditions: Blue Cross and Blue Shield of New Mexico, Molina Healthcare of New Mexico.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Blue Cross and Blue Shield of New Mexico	Turquoise Care (New Mexico Medicaid)	NM	prior auth required		Oct 1, 2026	New Mexico Medicaid Benefit Preauthorization Procedure Code List 10/1/26
Molina Healthcare of New Mexico	Medicaid	NM	prior auth required	Prior authorization is required for all home health services	Jul 1, 2026	New Mexico Medicaid Prior Auth (PA) Code Matrix, effective July 1, 2026

Payer coverage policies that name G9006

G9006 appears in 2 coverage policies from Blue Cross & Blue Shield of Mississippi, Blue Shield of California.

Payer	Policy	Role in policy	Reviewed	Document
Blue Cross & Blue Shield of Mississippi	Telehealth Remote Patient Monitoring Services (L.2.04.439)	not covered		payer document
Blue Shield of California	BSC2.11 \| Diabetes Prevention Program	listed, no stance		payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

ND: $0.00 (physician), effective Aug 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

G9006 Mccd, home monitoring