G0127 HCPCS code: Trimming of dystrophic nails, any number
G0127 is the HCPCS Level II code for trimming of dystrophic nails, any number. In 2024 Medicare paid an average of $13.15 per service for G0127 across 1,190,124 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on outpatient hospital claims. Medicare volume rose 3% from 2022 to 2024 (1,153,585 to 1,190,124 services). In 2024, about 5,994 clinicians billed Medicare for G0127 for 474,768 beneficiaries; California, Illinois, Florida accounted for 32% of services.
Code details
| Field | Value |
|---|---|
| Section | G codes — Procedures and professional services (temporary) |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 11 — Priced using national relative value units (Physician Fee Schedule) |
| BETOS category | P5A |
| Added | 1998-01-01 |
| Last action effective | 1998-01-01 |
Who bills G0127 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 5,994 |
| Medicare beneficiaries | 474,768 |
| States with claims | 52 |
| Share of services in top 3 states (California, Illinois, Florida) | 32% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for G0127, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,153,585 | 459,208 | $18.00 | $13.23 |
| 2023 | 1,182,284 | 465,697 | $17.86 | $13.21 |
| 2024 | 1,190,124 | 474,768 | $17.80 | $13.15 |
States with the most G0127 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 142,783 | $13.72 |
| Illinois | 136,892 | $12.29 |
| Florida | 95,354 | $12.45 |
| Pennsylvania | 87,588 | $13.14 |
| New York | 72,177 | $14.02 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A52996: Billing and Coding: Routine Foot Care (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B))
- A56232: Billing and Coding: Foot Care (WPS Insurance Corporation (MAC - Part A, MAC - Part B))
- A56680: Billing and Coding: Routine Foot Care (Palmetto GBA (MAC - Part A, MAC - Part B))
- A57188: Billing and Coding: Routine Foot Care (First Coast Service Options, Inc. (MAC - Part B))
- A57193: Billing and Coding: Routine Foot Care and Debridement of Nails (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
- A57759: Billing and Coding: Routine Foot Care and Debridement of Nails (Wellpoint Federal (MAC - Part A, MAC - Part B))
- A57954: Billing and Coding: Routine Foot Care (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B))
Covered diagnoses (1,929 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| A30.4 | Borderline lepromatous leprosy | 7 |
| A30.5 | Lepromatous leprosy | 7 |
| A52.15 | Late syphilitic neuropathy | 7 |
| A52.16 | Charcot's arthropathy (tabetic) | 7 |
| A52.17 | General paresis | 7 |
| D51.0 | Vitamin B12 deficiency anemia due to intrinsic factor deficiency | 7 |
| E08.42 | Diabetes mellitus due to underlying condition with diabetic polyneuropathy | 7 |
| E09.42 | Drug or chemical induced diabetes mellitus with neurological complications with diabetic polyneuropathy | 7 |
| E10.41 | Type 1 diabetes mellitus with diabetic mononeuropathy | 7 |
| E10.42 | Type 1 diabetes mellitus with diabetic polyneuropathy | 7 |
Showing 10 of 1,929. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for G0127
- 1998-01-01: G0127 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code G0127?
G0127 is the HCPCS Level II code for trimming of dystrophic nails, any number. Short descriptor: "Trim nail(s)".
How much does Medicare pay for G0127?
In 2024, the average Medicare payment was $13.15 per service (average allowed $17.80).
Does Medicare cover G0127?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for G0127?
Medicare policy articles that cite G0127 list 1,929 covered ICD-10-CM diagnosis codes across 7 articles. The most cited include A30.4 (Borderline lepromatous leprosy), A30.5 (Lepromatous leprosy), A52.15 (Late syphilitic neuropathy). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of G0127 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related G01 codes
- G0101 — Cervical or vaginal cancer screening; pelvic and clinical breast examination
- G0102 — Prostate cancer screening; digital rectal examination
- G0103 — Prostate cancer screening; prostate specific antigen test (PSA)
- G0104 — Colorectal cancer screening; flexible sigmoidoscopy
- G0105 — Colorectal cancer screening; colonoscopy on individual at high risk
- G0106 — Colorectal cancer screening; alternative to g0104, screening sigmoidoscopy, barium enema
- G0108 — Diabetes outpatient self-management training services, individual, per 30 minutes
- G0109 — Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes
- G0117 — Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist
- G0118 — Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist
- G0120 — Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema.
- G0121 — Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under G0127
- Watch G0127 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0127
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.