G0159 Hhc pt maint ea 15 min
What G0159 is
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, each 15 minutes
HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.
Medicare payment for G0159 (CY2026)
This code has no Physician Fee Schedule rate: Excluded from the Physician Fee Schedule (paid under another system or not priced here). 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 G0159? These codes are bundled into it
G0159 is a Column 1 code in 46 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 | |
|---|---|---|---|
0552T | Low-level laser therapy | 1 - modifier may bypass | Check pair |
0906T | Coms ther 1st appl<=50 sq cm | 1 - modifier may bypass | Check pair |
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 |
97012 | Mechanical traction therapy | 1 - modifier may bypass | Check pair |
97016 | Vasopneumatic device therapy | 1 - modifier may bypass | Check pair |
97018 | Paraffin bath therapy | 1 - modifier may bypass | Check pair |
97022 | Whirlpool therapy | 1 - modifier may bypass | Check pair |
97024 | Diathermy eg microwave | 1 - modifier may bypass | Check pair |
97026 | Infrared therapy | 1 - modifier may bypass | Check pair |
97028 | Ultraviolet therapy | 1 - modifier may bypass | Check pair |
97032 | Appl modality 1+estim ea 15 | 1 - modifier may bypass | Check pair |
97033 | App mdlty 1+iontphrsis ea 15 | 1 - modifier may bypass | Check pair |
97034 | App mdlty 1+cntrst bth ea 15 | 1 - modifier may bypass | Check pair |
97035 | App mdlty 1+ultrasound ea 15 | 1 - modifier may bypass | Check pair |
97036 | App mdlty 1+hubbrd tnk ea 15 | 1 - modifier may bypass | Check pair |
97110 | Therapeutic exercises | 1 - modifier may bypass | Check pair |
97112 | Neuromuscular reeducation | 1 - modifier may bypass | Check pair |
97113 | Aquatic therapy/exercises | 1 - modifier may bypass | Check pair |
97116 | Gait training therapy | 1 - modifier may bypass | Check pair |
97124 | Massage therapy | 1 - modifier may bypass | Check pair |
97140 | Manual therapy 1/> regions | 1 - modifier may bypass | Check pair |
97150 | Group therapeutic procedures | 1 - modifier may bypass | Check pair |
97161 | Pt eval low complex 20 min | 1 - modifier may bypass | Check pair |
97162 | Pt eval mod complex 30 min | 1 - modifier may bypass | Check pair |
97163 | Pt eval high complex 45 min | 1 - modifier may bypass | Check pair |
97164 | Pt re-eval est plan care | 1 - modifier may bypass | Check pair |
97165 | Ot eval low complex 30 min | 0 - no modifier bypass | Check pair |
97166 | Ot eval mod complex 45 min | 0 - no modifier bypass | Check pair |
Showing 30 of 46 column 2 codes. Use the pair checker for any specific combination.
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.