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We believe the services billed under this code reflect the types of services we expect primary care providers to provide in order to improve care coordination and care management

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[554] For example, in the calculation of the payment limit for dates of service in the third calendar quarter, if FSS is used to determine the payment limit, CMS would use the most recent FSS update available on the 30th day after the close of the first calendar quarter to determine the payment limit for the third quarter

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Lastly, as applicable Part B cost sharing would apply for HCPCS code GFCI1, we are proposing to require the treating practitioner to obtain verbal (or written) beneficiary consent in advance of furnishing the services described by GFCI1, which would be documented by the treating practitioner in the medical record, similar to the conditions of payment associated with care management and other non-face-to-face services paid under the PFS