List With HCPCS Codes For Miscellaneous Diagnostic and Therapeutic Services

The HCPCS codes for Miscellaneous Diagnostic and Therapeutic Services range from G0127 to G0372. These codes cover a variety of services including nail trimming, skilled nursing services, occupational therapy, bone density study, social determinants of health risk assessment, intensive outpatient services, peer support, cytopathology smears, home health services, wound closure, and many more.

1. HCPCS Code G0127

HCPCS G0127 describes the service of trimming dystrophic nails, regardless of the number of nails.

2. HCPCS Code G0128

HCPCS G0128 represents direct skilled nursing services provided by a registered nurse in a comprehensive outpatient rehabilitation facility, beyond the initial 5 minutes, for each 10-minute increment.

3. HCPCS Code G0129

HCPCS G0129 refers to occupational therapy services provided by a qualified occupational therapist as part of a partial hospitalization or intensive outpatient treatment program, per session lasting 45 minutes or more.

4. HCPCS Code G0130

HCPCS G0130 represents a single energy X-ray absorptiometry (SEXA) bone density study of the appendicular skeleton (e.g., radius, wrist, heel).

5. HCPCS Code G0136

HCPCS G0136 describes the administration of a standardized, evidence-based social determinants of health risk assessment tool, lasting between 5 and 15 minutes.

6. HCPCS Code G0137

HCPCS G0137 represents intensive outpatient services provided in a weekly bundle, including individual and group therapy, occupational therapy, social work services, activity therapies, family counseling, patient training and education, diagnostic services, and other necessary items and services for the treatment of psychiatric conditions.

7. HCPCS Code G0140

HCPCS G0140 represents principal illness navigation – peer support provided by certified or trained auxiliary personnel under the direction of a physician, including person-centered interviews, goal setting, support, and education for patients with serious, high-risk conditions.

8. HCPCS Code G0141

HCPCS G0141 refers to the screening of cytopathology smears collected from the cervix or vagina using an automated system, with manual rescreening and interpretation by a physician.

9. HCPCS Code G0143

HCPCS G0143 represents the screening of cytopathology smears collected from the cervix or vagina using an automated thin layer preparation in preservative fluid, with manual screening and rescreening by a cytotechnologist under physician supervision.

10. HCPCS Code G0144

HCPCS G0144 describes the screening of cytopathology smears collected from the cervix or vagina using an automated thin layer preparation in preservative fluid, with screening performed by an automated system under physician supervision.

11. HCPCS Code G0145

HCPCS G0145 represents the screening of cytopathology smears collected from the cervix or vagina using an automated thin layer preparation in preservative fluid, with screening performed by an automated system and manual rescreening under physician supervision.

12. HCPCS Code G0146

HCPCS G0146 represents additional 30 minutes of principal illness navigation – peer support provided by certified or trained auxiliary personnel under the direction of a physician.

13. HCPCS Code G0147

HCPCS G0147 refers to the screening of cytopathology smears collected from the cervix or vagina using an automated system under physician supervision.

14. HCPCS Code G0148

HCPCS G0148 represents the screening of cytopathology smears collected from the cervix or vagina using an automated system with manual rescreening.

15. HCPCS Code G0151

HCPCS G0151 describes services performed by a qualified physical therapist in the home health or hospice setting, for each 15-minute increment.

16. HCPCS Code G0152

HCPCS G0152 represents services performed by a qualified occupational therapist in the home health or hospice setting, for each 15-minute increment.

17. HCPCS Code G0153

HCPCS G0153 refers to services performed by a qualified speech-language pathologist in the home health or hospice setting, for each 15-minute increment.

18. HCPCS Code G0155

HCPCS G0155 represents services of a clinical social worker in home health or hospice settings, for each 15-minute increment.

19. HCPCS Code G0156

HCPCS G0156 describes services of a home health/hospice aide in home health or hospice settings, for each 15-minute increment.

20. HCPCS Code G0157

HCPCS G0157 represents services performed by a qualified physical therapist assistant in the home health or hospice setting, for each 15-minute increment.

21. HCPCS Code G0158

HCPCS G0158 refers to services performed by a qualified occupational therapist assistant in the home health or hospice setting, for each 15-minute increment.

22. HCPCS Code G0159

HCPCS G0159 represents services performed by a qualified physical therapist in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, for each 15-minute increment.

23. HCPCS Code G0160

HCPCS G0160 describes services performed by a qualified occupational therapist in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, for each 15-minute increment.

24. HCPCS Code G0161

HCPCS G0161 refers to services performed by a qualified speech-language pathologist in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, for each 15-minute increment.

25. HCPCS Code G0162

HCPCS G0162 represents skilled services provided by a registered nurse (RN) for the management and evaluation of the plan of care, for each 15-minute increment, in the home health or hospice setting.

26. HCPCS Code G0166

HCPCS G0166 describes external counterpulsation, per treatment session.

27. HCPCS Code G0168

HCPCS G0168 represents wound closure utilizing tissue adhesive(s) only.

28. HCPCS Code G0175

HCPCS G0175 refers to scheduled interdisciplinary team conferences with the patient present, involving a minimum of three exclusive participants other than patient care nursing staff.

29. HCPCS Code G0176

HCPCS G0176 describes activity therapy, such as music, dance, art, or play therapies, not for recreation, related to the care and treatment of patient’s disabling mental health problems, per session lasting 45 minutes or more.

30. HCPCS Code G0177

HCPCS G0177 represents training and educational services related to the care and treatment of patient’s disabling mental health problems, per session lasting 45 minutes or more.

31. HCPCS Code G0179

HCPCS G0179 refers to physician or allowed practitioner re-certification for Medicare-covered home health services under a home health plan of care, including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care.

32. HCPCS Code G0180

HCPCS G0180 represents physician or allowed practitioner certification for Medicare-covered home health services under a home health plan of care, including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care.

33. HCPCS Code G0181

HCPCS G0181 describes physician or allowed practitioner supervision of a patient receiving Medicare-covered services provided by a participating home health agency, requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans.

34. HCPCS Code G0182

HCPCS G0182 represents physician supervision of a patient under a Medicare-approved hospice, requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication with other healthcare professionals involved in the patient’s care, integration of new information into the medical treatment plan, and/or adjustment of medical therapy, for a minimum of 30 minutes within a calendar month.

35. HCPCS Code G0186

HCPCS G0186 refers to the destruction of localized lesion of choroid, specifically photocoagulation using the feeder vessel technique, which may require one or more sessions.

36. HCPCS Code G0219

HCPCS G0219 represents PET imaging of the whole body for melanoma, but only for non-covered indications.

37. HCPCS Code G0235

HCPCS G0235 describes PET imaging at any site, not otherwise specified.

38. HCPCS Code G0237

HCPCS G0237 refers to therapeutic procedures to increase strength or endurance of respiratory muscles, provided face to face, one on one, for each 15-minute increment, including monitoring.

39. HCPCS Code G0238

HCPCS G0238 represents therapeutic procedures to improve respiratory function, other than described by G0237, provided one on one, face to face, for each 15-minute increment, including monitoring.

40. HCPCS Code G0239

HCPCS G0239 describes therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, provided to two or more individuals, including monitoring.

41. HCPCS Code G0245

HCPCS G0245 represents the initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS), including diagnosis, patient history, physical examination, evaluation of protective sensation, foot structure and biomechanics, vascular status and skin integrity, and recommendation of footwear, as well as patient education.

42. HCPCS Code G0246

HCPCS G0246 refers to the follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS), including patient history, physical examination, evaluation of protective sensation, foot structure and biomechanics, vascular status and skin integrity, and recommendation of footwear, as well as patient education.

43. HCPCS Code G0247

HCPCS G0247 represents routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS), including local care of superficial wounds, debridement of corns and calluses, and trimming and debridement of nails.

44. HCPCS Code G0248

HCPCS G0248 describes the demonstration, prior to initiation of home INR monitoring, for a patient with mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria, including face-to-face demonstration of use and care of the INR monitor, obtaining at least one blood sample, provision of instructions for reporting home INR test results, and documentation of the patient’s ability to perform testing and report results.

45. HCPCS Code G0249

HCPCS G0249 refers to the provision of test materials and equipment for home INR monitoring of a patient with mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria, including provision of materials for use in the home and reporting of test results to the physician, with billing units of service including 4 tests and testing not occurring more frequently than once a week.

46. HCPCS Code G0250

HCPCS G0250 represents physician review, interpretation, and patient management of home INR testing for a patient with mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria, with billing units of service including 4 tests and testing not occurring more frequently than once a week.

47. HCPCS Code G0252

HCPCS G0252 describes PET imaging, specifically for the initial diagnosis of breast cancer and/or surgical planning for breast cancer using full and partial-ring PET scanners only.

48. HCPCS Code G0255

HCPCS G0255 refers to the current perception threshold/sensory nerve conduction test, per limb, for any nerve.

49. HCPCS Code G0257

HCPCS G0257 represents unscheduled or emergency dialysis treatment for an ESRD patient in a hospital outpatient department that is not certified as an ESRD facility.

50. HCPCS Code G0259

HCPCS G0259 describes the injection procedure for sacroiliac joint arthrography.

51. HCPCS Code G0260

HCPCS G0260 represents the injection procedure for sacroiliac joint, including the provision of anesthetic, steroid, and/or other therapeutic agent, with or without arthrography.

52. HCPCS Code G0268

HCPCS G0268 refers to the removal of impacted cerumen (earwax) in one or both ears by a physician on the same date of service as audiologic function testing.

53. HCPCS Code G0269

HCPCS G0269 represents the placement of an occlusive device into either a venous or arterial access site, post-surgical or interventional procedure, such as an angioseal plug or vascular plug.

54. HCPCS Code G0270

HCPCS G0270 describes the reassessment and subsequent intervention(s) following the second referral in the same year for change in diagnosis, medical condition, or treatment regimen, including additional hours needed for renal disease, for medical nutrition therapy provided by a physician or other qualified healthcare professional, face to face with the patient, for each 15-minute increment.

55. HCPCS Code G0271

HCPCS G0271 refers to the reassessment and subsequent intervention(s) following the second referral in the same year for change in diagnosis, medical condition, or treatment regimen, including additional hours needed for renal disease, for medical nutrition therapy provided in a group setting (2 or more individuals), for each 30-minute increment.

56. HCPCS Code G0276

HCPCS G0276 represents the blinded procedure for lumbar stenosis, specifically percutaneous image-guided lumbar decompression (PILD) or placebo-control, performed in an approved coverage with evidence development (CED) clinical trial.

57. HCPCS Code G0277

HCPCS G0277 describes hyperbaric oxygen therapy under pressure, using a full body chamber, for each 30-minute interval.

58. HCPCS Code G0278

HCPCS G0278 refers to iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, including positioning or placement of the catheter, injection of dye, production of permanent images, and radiologic supervision and interpretation.

59. HCPCS Code G0279

HCPCS G0279 represents diagnostic digital breast tomosynthesis, either unilateral or bilateral, performed in addition to the primary codes 77065 or 77066.

60. HCPCS Code G0281

HCPCS G0281 describes electrical stimulation, unattended, to one or more areas, for chronic Stage III and Stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care.

61. HCPCS Code G0282

HCPCS G0282 represents electrical stimulation, unattended, to one or more areas, for wound care other than described in G0281.

62. HCPCS Code G0283

HCPCS G0283 refers to electrical stimulation, unattended, to one or more areas for indications other than wound care, as part of a therapy plan of care.

63. HCPCS Code G0288

HCPCS G0288 describes the reconstruction of computed tomographic angiography of the aorta for surgical planning for vascular surgery.

64. HCPCS Code G0289

HCPCS G0289 represents arthroscopy of the knee, surgical, for the removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee.

65. HCPCS Code G0293

HCPCS G0293 refers to noncovered surgical procedure(s) using conscious sedation, regional, general, or spinal anesthesia in a Medicare qualifying clinical trial, per day.

66. HCPCS Code G0294

HCPCS G0294 represents noncovered procedure(s) using either no anesthesia or local anesthesia only, in a Medicare qualifying clinical trial, per day.

67. HCPCS Code G0295

HCPCS G0295 describes electromagnetic therapy to one or more areas, for wound care other than described in G0329 or for other uses.

68. HCPCS Code G0296

HCPCS G0296 refers to counseling visits to discuss the need for lung cancer screening using low dose CT scan, for 5 to 15 minutes of time.

69. HCPCS Code G0299

HCPCS G0299 represents direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, for each 15-minute increment.

70. HCPCS Code G0300

HCPCS G0300 describes direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, for each 15-minute increment.

71. HCPCS Code G0302

HCPCS G0302 refers to pre-operative pulmonary surgery services for the preparation of lung volume reduction surgery (LVRS), including a complete course of services lasting a minimum of 16 days.

72. HCPCS Code G0303

HCPCS G0303 represents pre-operative pulmonary surgery services for the preparation of lung volume reduction surgery (LVRS), including 10 to 15 days of services.

73. HCPCS Code G0304

HCPCS G0304 describes pre-operative pulmonary surgery services for the preparation of lung volume reduction surgery (LVRS), including 1 to 9 days of services.

74. HCPCS Code G0305

HCPCS G0305 represents post-discharge pulmonary surgery services after lung volume reduction surgery (LVRS), including a minimum of 6 days of services.

75. HCPCS Code G0306

HCPCS G0306 describes a complete complete blood count (CBC) automated test, including hemoglobin, hematocrit, red blood cell count, white blood cell count, without platelet count, and an automated white blood cell differential count.

76. HCPCS Code G0307

HCPCS G0307 represents a complete automated complete blood count (CBC), including hemoglobin, hematocrit, red blood cell count, white blood cell count, without platelet count.

77. HCPCS Code G0310

HCPCS G0310 describes immunization counseling by a physician or other qualified healthcare professional when the vaccine(s) is not administered on the same date of service, for 5 to 15 minutes of time.

78. HCPCS Code G0311

HCPCS G0311 refers to immunization counseling by a physician or other qualified healthcare professional when the vaccine(s) is not administered on the same date of service, for 16 to 30 minutes of time.

79. HCPCS Code G0312

HCPCS G0312 describes immunization counseling by a physician or other qualified healthcare professional when the vaccine(s) is not administered on the same date of service for ages under 21, for 5 to 15 minutes of time.

80. HCPCS Code G0313

HCPCS G0313 refers to immunization counseling by a physician or other qualified healthcare professional when the vaccine(s) is not administered on the same date of service for ages under 21, for 16 to 30 minutes of time.

81. HCPCS Code G0314

HCPCS G0314 represents immunization counseling by a physician or other qualified healthcare professional for COVID-19, for ages under 21, for 16 to 30 minutes of time.

82. HCPCS Code G0315

HCPCS G0315 describes immunization counseling by a physician or other qualified healthcare professional for COVID-19, for ages under 21, for 5 to 15 minutes of time.

83. HCPCS Code G0316

HCPCS G0316 refers to prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service, each additional 15 minutes, with or without direct patient contact, not reported on the same date of service as other prolonged services for evaluation and management.

84. HCPCS Code G0317

HCPCS G0317 represents prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service, each additional 15 minutes, with or without direct patient contact, not reported on the same date of service as other prolonged services for evaluation and management.

85. HCPCS Code G0318

HCPCS G0318 describes prolonged home or residence evaluation and management service(s) beyond the total time for the primary service, each additional 15 minutes, with or without direct patient contact, not reported on the same date of service as other prolonged services for evaluation and management.

86. HCPCS Code G0320

HCPCS G0320 represents home health services furnished using synchronous telemedicine, rendered via a real-time two-way audio and video telecommunications system.

87. HCPCS Code G0321

HCPCS G0321 describes home health services furnished using synchronous telemedicine, rendered via telephone or other real-time interactive audio-only telecommunications system.

88. HCPCS Code G0322

HCPCS G0322 refers to the collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency, such as remote patient monitoring.

89. HCPCS Code G0323

HCPCS G0323 describes care management services for behavioral health conditions, including at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time per calendar month.

90. HCPCS Code G0327

HCPCS G0327 represents colorectal cancer screening using a blood-based biomarker.