HCPCS Code G0023: Principal Illness Navigation Services

Appropriate practitioners, such as physicians, nurse practitioners, and other practitioner types authorized under Medicare and Medicaid, may bill for these services. In many cases, certified peer specialists 60 60-minute interventions and incident-to services may also apply when delivered under the direction of a billing practitioner.

Patient navigators help patients adjust daily routines, provide tailored support, and assist in securing appointments. They also link patients to food assistance, home and community-based resources, and other related supports to meet person-centered treatment goals and improve desired outcomes.

These services incorporate the patient’s life story strengths, medical decision making, and diagnosis and treatment goals to provide person-centered care. By aligning with person-centered treatment goals, clinicians can better meet person-centered diagnosis standards and ensure individualized clinical care.