G0151 HCPCS code: Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes

G0151 is the HCPCS Level II code for services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.

Code details

Medicare policy articles for this code

• A53058: Billing and Coding: Home Health Physical Therapy (Palmetto GBA (HHH MAC))
• A53058: Billing and Coding: Home Health Physical Therapy (Palmetto GBA (HHH MAC))
• A57311: Billing and Coding: Physical Therapy - Home Health (CGS Administrators, LLC (HHH MAC))

Covered diagnoses (14,836 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

Showing 10 of 14,836. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for G0151

• 1999-07-01: G0151 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 G0151?

G0151 is the HCPCS Level II code for services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes. Short descriptor: "Hhcp-serv of pt,ea 15 min".

Does Medicare cover G0151?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Which diagnoses support coverage for G0151?

Medicare policy articles that cite G0151 list 14,836 covered ICD-10-CM diagnosis codes across 3 articles. The most cited include B91 (Sequelae of poliomyelitis), E08.44 (Diabetes mellitus due to underlying condition with diabetic amyotrophy), E08.52 (Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

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

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Next steps

• Run a reimbursement report for a device billed under G0151
• Watch G0151 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for G0151

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.

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