G0160 Hhc occup therapy ea 15
What G0160 is
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, each 15 minutes
HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.
Medicare payment for G0160 (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 G0160? These codes are bundled into it
G0160 is a Column 1 code in 18 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 |
97150 | Group therapeutic procedures | 1 - modifier may bypass | Check pair |
97161 | Pt eval low complex 20 min | 0 - no modifier bypass | Check pair |
97162 | Pt eval mod complex 30 min | 0 - no modifier bypass | Check pair |
97163 | Pt eval high complex 45 min | 0 - no modifier bypass | Check pair |
97164 | Pt re-eval est plan care | 0 - no modifier bypass | Check pair |
97165 | Ot eval low complex 30 min | 1 - modifier may bypass | Check pair |
97166 | Ot eval mod complex 45 min | 1 - modifier may bypass | Check pair |
97167 | Ot eval high complex 60 min | 1 - modifier may bypass | Check pair |
97168 | Ot re-eval est plan care | 1 - modifier may bypass | Check pair |
97530 | Therapeutic activities | 1 - modifier may bypass | Check pair |
97533 | Sensory integration | 1 - modifier may bypass | Check pair |
97535 | Self care mngment training | 1 - modifier may bypass | Check pair |
97542 | Wheelchair mngment training | 1 - modifier may bypass | Check pair |
97545 | Work hardening | 1 - modifier may bypass | Check pair |
97750 | Physical performance test | 1 - modifier may bypass | 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.