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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.
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.
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