G0155 Hhcp-svs of csw,ea 15 min
What G0155 is
Services of clinical social worker in home health or hospice settings, each 15 minutes
HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.
Medicare payment for G0155 (CY2026)
This code has no Physician Fee Schedule rate: Statutory exclusion - not payable under the Physician Fee Schedule. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Billed with G0155? These codes are bundled into it
G0155 is a Column 1 code in 4 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
97537 | Community/work reintegration | 1 - modifier may bypass | Check pair |
G0155 is bundled into these codes
G0155 appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, G0155 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
G0409 | Corf related serv 15 mins ea | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.