G0161 Hhc slp ea 15 min
What G0161 is
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, each 15 minutes
HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.
Medicare payment for G0161 (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 G0161? These codes are bundled into it
G0161 is a Column 1 code in 47 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 | |
|---|---|---|---|
0208T | Audiometry air only | 1 - modifier may bypass | Check pair |
0209T | Audiometry air & bone | 1 - modifier may bypass | Check pair |
0210T | Speech audiometry threshold | 1 - modifier may bypass | Check pair |
0211T | Speech audiom thresh & recog | 1 - modifier may bypass | Check pair |
0212T | Compre audiometry evaluation | 1 - modifier may bypass | Check pair |
0485T | Oct mid ear i&r unilateral | 1 - modifier may bypass | Check pair |
0486T | Oct mid ear i&r bilateral | 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 |
92507 | Tx sp lang voice comm indiv | 1 - modifier may bypass | Check pair |
92508 | Tx sp lang voice comm group | 1 - modifier may bypass | Check pair |
92521 | Evaluation of speech fluency | 1 - modifier may bypass | Check pair |
92522 | Evaluate speech production | 1 - modifier may bypass | Check pair |
92523 | Speech sound lang comprehen | 1 - modifier may bypass | Check pair |
92524 | Behavral qualit analys voice | 1 - modifier may bypass | Check pair |
92526 | Oral function therapy | 1 - modifier may bypass | Check pair |
92550 | Tympanometry & reflex thresh | 1 - modifier may bypass | Check pair |
92552 | Pure tone audiometry air | 1 - modifier may bypass | Check pair |
92553 | Audiometry air & bone | 1 - modifier may bypass | Check pair |
92555 | Speech threshold audiometry | 1 - modifier may bypass | Check pair |
92556 | Speech audiometry complete | 1 - modifier may bypass | Check pair |
92557 | Comprehensive hearing test | 1 - modifier may bypass | Check pair |
92558 | Evoked auditory test qual | 1 - modifier may bypass | Check pair |
92562 | Loudness balance test | 1 - modifier may bypass | Check pair |
92563 | Tone decay hearing test | 1 - modifier may bypass | Check pair |
92565 | Stenger test pure tone | 1 - modifier may bypass | Check pair |
92567 | Tympanometry | 1 - modifier may bypass | Check pair |
92568 | Acoustic refl threshold tst | 1 - modifier may bypass | Check pair |
92570 | Acoustic immitance testing | 1 - modifier may bypass | Check pair |
92571 | Filtered speech test | 1 - modifier may bypass | Check pair |
Showing 30 of 47 column 2 codes. Use the pair checker for any specific combination.
G0161 is bundled into these codes
G0161 appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, G0161 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
92626 | Eval aud funcj 1st hour | 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.