{"entity":{"id":"medicare-principal-illness-navigation","kind":"term","name":"Medicare Principal Illness Navigation services (G0023, G0024)","aka":["Principal Illness Navigation","PIN services","G0023","G0024"],"tldr":"In the US, Medicare can pay for a trained navigator to help people with serious illnesses including cancer coordinate care, find support services and speak up for themselves. Your doctor has to set it up at a visit, with your consent, and cost sharing may apply.","summary":"Principal Illness Navigation (PIN) services are billed to Medicare with two HCPCS codes for services by certified or trained auxiliary personnel under the direction of a physician or other practitioner: G0023, PIN services including by a patient navigator, 60 minutes per calendar month, and G0024, each additional 30 minutes. The Rural Health Information Hub lists the services as person-centred planning, care coordination and health system navigation, referral to supportive and community-based resources, and promotion of patient self-advocacy skills, for serious high-risk conditions including cancer. An initiating visit (an evaluation and management visit, an annual wellness visit or certain behavioural assessments) establishes the need and a treatment plan; the practitioner must document consent before services start and annually, make sure the patient knows about cost sharing, and only one practitioner may bill the services per month.","asOf":"2026-11-04","links":[{"label":"Rural Health Information Hub: Principal Illness Navigation services","url":"https://www.ruralhealthinfo.org/care-management/principal-illness-navigation-services"}],"tags":["supportive","us"],"related":[],"cancers":[],"sections":[],"technologies":["financial-navigation"],"targets":[],"drugs":[],"companies":[],"institutions":[],"pathways":[],"terms":["patient-navigation"],"trials":[],"people":[],"bottlenecks":[],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"category":"Clinic basics"},"route":"/terms/medicare-principal-illness-navigation/","neighbours":{"technology":[{"id":"financial-navigation","kind":"technology","name":"Financial toxicity and financial navigation","route":"/technologies/financial-navigation/"}],"term":[{"id":"patient-navigation","kind":"term","name":"Patient navigation in cancer care","route":"/terms/patient-navigation/"}]}}