G0162 Hhc rn e&m plan svs, 15 min
What G0162 is
Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)
HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.
Medicare payment for G0162 (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 G0162? These codes are bundled into it
G0162 is a Column 1 code in 14 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 | |
|---|---|---|---|
36000 | Place needle in vein | 1 - modifier may bypass | Check pair |
36410 | Vnpnxr 3yr/> phy/qhp dx/ther | 1 - modifier may bypass | Check pair |
36430 | Transfusion bld/bld compnt | 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 |
96360 | Hydration iv infusion init | 1 - modifier may bypass | Check pair |
96365 | Ther/proph/diag iv inf init | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
G0008 | Admin influenza virus vac | 1 - modifier may bypass | Check pair |
G0009 | Admin pneumococcal vaccine | 1 - modifier may bypass | Check pair |
G0010 | Admin hepatitis b vaccine | 1 - modifier may bypass | Check pair |
G0128 | Corf skilled nursing service | 1 - modifier may bypass | Check pair |
P9612 | Catheterize for urine spec | 1 - modifier may bypass | Check pair |
P9615 | Urine specimen collect mult | 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.