ACCESS Model HCPCS G-Code Allowed Amounts: October 2026

The HCPCS codes listed are effective October 1, 2026, for federally qualified health centers (FQHCs) and rural health clinics (RHCs) participating in the Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Implementation.

HCPCS Codes

HCPCS Short Descriptor Long Descriptor
G0676 Std co-mgmt-eckm, ckm Standard Co-Management service payment for documented review of clinical updates from ACCESS Participant managing cardio-kidney-metabolic conditions (early cardio-kidney-metabolic [eCKM] or cardio-kidney-metabolic [CKM]); per review
G0677 Std co-mgmt-msk Standard Co-Management service payment for documented review of clinical updates from ACCESS Participant managing musculoskeletal (MSK) conditions; per review
G0678 Std co-mgmt-bh Standard Co-Management service payment for documented review of clinical updates from ACCESS Participant managing behavioral health (BH) conditions (depression, anxiety); per review

Modifier Descriptions

Modifier Short Descriptor Long Descriptor
AC Co-mgmt mod – onboarding Initial onboarding support payment for access beneficiary enrollment, device/app setup, and care coordination activities; first month only; once per beneficiary per track.

Florida

HCPCS Carrier Locality Modifier Price
G0676 09102 3   31.17
G0676 09102 3 AC 41.17
G0676 09102 4   32.43
G0676 09102 4 AC 42.43
G0676 09102 99   30
G0676 09102 99 AC 40
G0677 09102 3   31.17
G0677 09102 3 AC 41.17
G0677 09102 4   32.43
G0677 09102 4 AC 42.43
G0677 09102 99   30
G0677 09102 99 AC 40
G0678 09102 3   31.17
G0678 09102 3 AC 41.17
G0678 09102 4   32.43
G0678 09102 4 AC 42.43
G0678 09102 99   30
G0678 09102 99 AC 40


Puerto Rico

HCPCS Carrier Locality Modifier Price
G0676 09202 20   30.12
G0676 09202 20 AC 40.12
G0676 09202 50   30.12
G0676 09202 50 AC 40.12
G0677 09202 20   30.12
G0677 09202 20 AC 40.12
G0677 09202 50   30.12
G0677 09202 50 AC 40.12
G0678 09202 20   30.12
G0678 09202 20 AC 40.12
G0678 09202 50   30.12
G0678 09202 50 AC 40.12