G0283 HCPCS code: Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
G0283 is the HCPCS Level II code for electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care. In 2024 Medicare paid an average of $6.78 per service for G0283 across 5,441,343 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on outpatient hospital claims. Medicare volume fell 6% from 2022 to 2024 (5,772,675 to 5,441,343 services). In 2024, about 41,786 clinicians billed Medicare for G0283 for 518,149 beneficiaries; California, New York, New Jersey accounted for 33% of services.
Code details
| Field | Value |
|---|---|
| Section | G codes — Procedures and professional services (temporary) |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 11 — Priced using national relative value units (Physician Fee Schedule) |
| BETOS category | P5E |
| Added | 2003-01-01 |
| Last action effective | 2003-01-01 |
Who bills G0283 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 41,786 |
| Medicare beneficiaries | 518,149 |
| States with claims | 57 |
| Share of services in top 3 states (California, New York, New Jersey) | 33% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for G0283, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 5,772,675 | 568,166 | $9.38 | $7.29 |
| 2023 | 5,720,479 | 551,877 | $9.12 | $7.08 |
| 2024 | 5,441,343 | 518,149 | $8.76 | $6.78 |
States with the most G0283 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 822,882 | $7.13 |
| New York | 575,762 | $7.55 |
| New Jersey | 413,782 | $7.42 |
| Pennsylvania | 301,350 | $6.67 |
| Florida | 284,505 | $6.68 |
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
- A53057: Billing and Coding: Home Health Occupational Therapy (Palmetto GBA (HHH MAC))
- A53057: Billing and Coding: Home Health Occupational Therapy (Palmetto GBA (HHH MAC))
- A53064: Billing and Coding: Outpatient Occupational Therapy (Palmetto GBA (MAC - Part A))
- A53064: Billing and Coding: Outpatient Occupational Therapy (Palmetto GBA (MAC - Part A))
- A53065: Billing and Coding: Outpatient Physical Therapy (Palmetto GBA (MAC - Part A))
- A53065: Billing and Coding: Outpatient Physical Therapy (Palmetto GBA (MAC - Part A))
- A56034: Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B))
- A56566: Billing and Coding: Outpatient Physical and Occupational Therapy Services (Wellpoint Federal (MAC - Part A, MAC - Part B))
- A56731: Billing and Coding: Nerve Blocks and Electrostimulation for Peripheral Neuropathy (Palmetto GBA (MAC - Part A, MAC - Part B))
- A57067: Billing and Coding: Outpatient Physical and Occupational Therapy Services (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
- A57311: Billing and Coding: Physical Therapy - Home Health (CGS Administrators, LLC (HHH MAC))
- A57589: Billing and Coding: Nerve Blocks for Peripheral Neuropathy (WPS Insurance Corporation (MAC - Part A, MAC - Part B))
- A57663: Billing and Coding: Nerve Blocks for Peripheral Neuropathy (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
Covered diagnoses (20,723 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| G54.0 | Brachial plexus disorders | 4 |
| G54.1 | Lumbosacral plexus disorders | 4 |
| G54.2 | Cervical root disorders, not elsewhere classified | 4 |
| G54.3 | Thoracic root disorders, not elsewhere classified | 4 |
| G54.4 | Lumbosacral root disorders, not elsewhere classified | 4 |
| G54.5 | Neuralgic amyotrophy | 4 |
| G54.6 | Phantom limb syndrome with pain | 4 |
| G55 | Nerve root and plexus compressions in diseases classified elsewhere | 4 |
| G56.11 | Other lesions of median nerve, right upper limb | 4 |
| G56.12 | Other lesions of median nerve, left upper limb | 4 |
Showing 10 of 20,723. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for G0283
- 2003-01-01: G0283 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 G0283?
G0283 is the HCPCS Level II code for electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care. Short descriptor: "Elec stim other than wound".
How much does Medicare pay for G0283?
In 2024, the average Medicare payment was $6.78 per service (average allowed $8.76).
Does Medicare cover G0283?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for G0283?
Medicare policy articles that cite G0283 list 20,723 covered ICD-10-CM diagnosis codes across 13 articles. The most cited include G54.0 (Brachial plexus disorders), G54.1 (Lumbosacral plexus disorders), G54.2 (Cervical root disorders, not elsewhere classified). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of G0283 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related G02 codes
- G0202 — Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed
- G0204 — Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral
- G0206 — Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral
- G0219 — Pet imaging whole body; melanoma for non-covered indications
- G0235 — Pet imaging, any site, not otherwise specified
- G0237 — Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)
- G0238 — Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)
- G0239 — Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)
- G0245 — Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education
- G0246 — Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education
- G0247 — Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails
- G0248 — Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results
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Next steps
- Run a reimbursement report for a device billed under G0283
- Watch G0283 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0283
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.