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2025 HCPCS code G0060

This HCPCS code signifies that the provider utilizes the Allergy/Immunology MIPS Specialty Set for reporting purposes within the Merit-based Incentive Payment System (MIPS).

Refer to CMS guidelines and MIPS program requirements for accurate reporting and compliance.Ensure proper documentation is maintained supporting the use of code G0060.

Medical necessity for G0060 is implicitly linked to the provider's participation in the MIPS program.It demonstrates commitment to improving quality of care through adherence to the specific quality measures defined within the Allergy/Immunology MIPS Specialty Set.

The clinical responsibility associated with G0060 involves reporting and selecting quality measures related to allergy and immunology care, aligning with the provider's participation in the Merit-based Incentive Payment System (MIPS).

In simple words: This code shows that the doctor is using a specific set of quality measures for allergy and immunology care, as part of a Medicare program to improve the quality of care.

HCPCS code G0060 indicates the provider's use of the Allergy/Immunology MIPS Specialty Set.This code is specifically designated for the Allergy/Immunology MIPS Specialty Set, part of the Merit-based Incentive Payment System (MIPS).Medicare develops and maintains specialty measure sets to assist MIPS-eligible clinicians in selecting quality measures relevant to their practice.Some G codes represent professional healthcare procedures and services lacking corresponding CPT codes; others are used by providers participating in programs like the Medicare Quality Payment Program (QPP), aiming to enhance patient care quality through incentive programs. Consult program guidelines for complete submission procedures and requirements.

Example 1: An allergist uses G0060 to report their participation in the Allergy/Immunology MIPS Specialty Set for the performance year. This demonstrates adherence to Medicare guidelines for quality reporting., An immunologist submits code G0060 to indicate their utilization of the specialty measure set in the MIPS program. This signifies commitment to quality improvement and adherence to program requirements., A physician with a combined allergy and immunology practice uses code G0060, demonstrating participation in the relevant MIPS specialty set. This showcases their adherence to quality reporting standards within the program guidelines.

Documentation should include evidence of the provider's participation in the MIPS program and their selection of the Allergy/Immunology MIPS Specialty Set.Supporting documentation for quality measures used from this set should also be maintained for audit purposes.

** G0060 is not a procedure code but a reporting code used within the Merit-based Incentive Payment System (MIPS).It signifies the provider's participation in specific quality measures and is distinct from direct patient care codes.

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