How to Bill for Cancer Patient Navigation Services: A Revenue Guide for Oncology Practices

Cancer patient navigation is no longer just essential—it’s billable.

Every day, your team delivers hours of behind-the-scenes support: coordinating scans and referrals, handling prior authorizations, helping patients find transportation, calming their fears, and connecting them with food, housing, or financial assistance. This is patient navigation—and it’s what keeps cancer care moving.

Until recently, this work went unpaid. But now, thanks to new 2024 CMS billing codes, cancer programs can finally bill for patient navigation services delivered by physicians, NPs, navigators, medical assistants, social workers, community health workers, and others.

This is a major shift in how oncology care is funded—and a major opportunity for your practice. Using these codes can generate over $100K per provider per year in new revenue, without changing a single thing about the care you're already delivering. But knowing how to document, code, and bill correctly is key.

That’s why we created this guide.

Download the XpediteMD Cancer Patient Navigation Billing Guide and get:
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- A breakdown of all the new CMS codes—PCM, PIN, CHI, and SDOH—and who can bill for each
- Real billing examples: e.g., PIN services (G0023 + G0024) = $141/month per patient
- Sample 2-month proforma: 140 patients = $101,498 in new revenue
- Medicare billing requirements: consent, time tracking, E/M visit initiation, telehealth rules
- Strategies to stack codes and bill navigation services monthly, even during the global period