G0337 Hospice evaluation preelecti
What G0337 is
Hospice evaluation and counseling services, pre-election
HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.
Medicare payment for G0337 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.42 | 0.62 | 0.08 | 2.12 | $70.81 |
| Facility (hospital, ASC) | 1.42 | 0.31 | 0.08 | 1.81 | $60.46 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Statutory exclusion - not payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps G0337 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with G0337? These codes are bundled into it
G0337 is a Column 1 code in 79 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 |
90832 | Psytx w pt 30 minutes | 0 - no modifier bypass | Check pair |
90833 | Psytx w pt w e/m 30 min | 0 - no modifier bypass | Check pair |
90834 | Psytx w pt 45 minutes | 0 - no modifier bypass | Check pair |
90836 | Psytx w pt w e/m 45 min | 0 - no modifier bypass | Check pair |
90837 | Psytx w pt 60 minutes | 0 - no modifier bypass | Check pair |
90838 | Psytx w pt w e/m 60 min | 0 - no modifier bypass | Check pair |
90839 | Psytx crisis initial 60 min | 0 - no modifier bypass | Check pair |
90845 | Psychoanalysis | 1 - modifier may bypass | Check pair |
90846 | Family psytx w/o pt 50 min | 1 - modifier may bypass | Check pair |
90847 | Family psytx w/pt 50 min | 1 - modifier may bypass | Check pair |
90849 | Multiple family group psytx | 1 - modifier may bypass | Check pair |
90853 | Group psychotherapy | 1 - modifier may bypass | Check pair |
90865 | Narcosynthesis | 1 - modifier may bypass | Check pair |
90880 | Hypnotherapy | 1 - modifier may bypass | Check pair |
92002 | Intrm oph exam new patient | 0 - no modifier bypass | Check pair |
92004 | Compre oph exam new pt 1/> | 0 - no modifier bypass | Check pair |
92012 | Intrm oph exam est patient | 0 - no modifier bypass | Check pair |
92014 | Compre oph exam est pt 1/> | 0 - no modifier bypass | Check pair |
93792 | Pt/caregiver traing home inr | 0 - no modifier bypass | Check pair |
93793 | Anticoag mgmt pt warfarin | 1 - modifier may bypass | Check pair |
95851 | Range of motion measurements | 0 - no modifier bypass | Check pair |
95852 | Range of motion measurements | 0 - no modifier bypass | Check pair |
96116 | Nubhvl xm phys/qhp 1st hr | 1 - modifier may bypass | Check pair |
96127 | Brief emotional/behav assmt | 0 - no modifier bypass | Check pair |
96156 | Hlth bhv assmt/reassessment | 0 - no modifier bypass | Check pair |
96158 | Hlth bhv ivntj indiv 1st 30 | 0 - no modifier bypass | Check pair |
96159 | Hlth bhv ivntj indiv ea addl | 0 - no modifier bypass | Check pair |
96164 | Hlth bhv ivntj grp 1st 30 | 0 - no modifier bypass | Check pair |
Showing 30 of 79 column 2 codes. Use the pair checker for any specific combination.
G0337 is bundled into these codes
G0337 appears as a Column 2 code in 2 active edits. Reported with one of these Column 1 codes on the same date of service, G0337 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
99483 | Assmt & care pln pt cog imp | 0 | Check pair |
99497 | Advncd care plan 30 min | 0 | 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.