G0152 HCPCS code: Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes

G0152 is the HCPCS Level II code for services performed by a qualified occupational 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

• A53057: Billing and Coding: Home Health Occupational Therapy (Palmetto GBA (HHH MAC))
• A53057: Billing and Coding: Home Health Occupational Therapy (Palmetto GBA (HHH MAC))
• A56756: Billing and Coding: Home Health - Psychiatric Care (Palmetto GBA (HHH MAC))

Covered diagnoses (8,423 ICD-10-CM codes)

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

Showing 10 of 8,423. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for G0152

• 1999-07-01: G0152 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 G0152?

G0152 is the HCPCS Level II code for services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes. Short descriptor: "Hhcp-serv of ot,ea 15 min".

Does Medicare cover G0152?

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

Which diagnoses support coverage for G0152?

Medicare policy articles that cite G0152 list 8,423 covered ICD-10-CM diagnosis codes across 3 articles. The most cited include F50.82 (Avoidant/restrictive food intake disorder), G24.01 (Drug induced subacute dyskinesia), G24.02 (Drug induced acute dystonia). 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 G0152
• Watch G0152 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for G0152

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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