G0429 HCPCS code: Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy)
G0429 is the HCPCS Level II code for dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy). In 2024 Medicare paid an average of $79.61 per service for G0429 across 760 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 rose 39% from 2022 to 2024 (548 to 760 services). In 2024, about 50 clinicians billed Medicare for G0429 for 222 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | G codes — Procedures and professional services (temporary) |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 13 |
| BETOS category | P6A |
| Added | 2010-03-23 |
| Last action effective | 2017-01-01 |
Who bills G0429 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 50 |
| Medicare beneficiaries | 222 |
| States with claims | 4 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for G0429, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 548 | 181 | $102.02 | $79.10 |
| 2023 | 622 | 210 | $101.08 | $78.25 |
| 2024 | 760 | 222 | $103.16 | $79.61 |
States with the most G0429 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 591 | $80.67 |
| Massachusetts | 52 | $80.91 |
| Connecticut | 37 | $71.18 |
| New York | 32 | $81.48 |
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
- A58774: Billing and Coding: Cosmetic and Reconstructive Surgery (WPS Insurance Corporation (MAC - Part A, MAC - Part B))
- A59299: Billing and Coding: Cosmetic and Reconstructive Surgery (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
Covered diagnoses (226 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| B20 | Human immunodeficiency virus [HIV] disease | 2 |
| C30.0 | Malignant neoplasm of nasal cavity | 2 |
| C41.0 | Malignant neoplasm of bones of skull and face | 2 |
| C43.31 | Malignant melanoma of nose | 2 |
| C43.39 | Malignant melanoma of other parts of face | 2 |
| C44.300 | Unspecified malignant neoplasm of skin of unspecified part of face | 2 |
| C44.301 | Unspecified malignant neoplasm of skin of nose | 2 |
| C44.309 | Unspecified malignant neoplasm of skin of other parts of face | 2 |
| C44.310 | Basal cell carcinoma of skin of unspecified parts of face | 2 |
| C44.311 | Basal cell carcinoma of skin of nose | 2 |
Showing 10 of 226. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for G0429
- 2010-03-23: G0429 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 G0429?
G0429 is the HCPCS Level II code for dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (lds) (e.g., as a result of highly active antiretroviral therapy). Short descriptor: "Dermal filler injection(s)".
How much does Medicare pay for G0429?
In 2024, the average Medicare payment was $79.61 per service (average allowed $103.16).
Does Medicare cover G0429?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for G0429?
Medicare policy articles that cite G0429 list 226 covered ICD-10-CM diagnosis codes across 2 articles. The most cited include B20 (Human immunodeficiency virus [HIV] disease), C30.0 (Malignant neoplasm of nasal cavity), C41.0 (Malignant neoplasm of bones of skull and face). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of G0429 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related G04 codes
- G0400 — Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels
- G0402 — Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
- G0403 — Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
- G0404 — Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination
- G0405 — Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination
- G0406 — Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth
- G0407 — Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth
- G0408 — Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth
- G0409 — Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)
- G0410 — Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes
- G0411 — Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes
- G0412 — Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed
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Next steps
- Run a reimbursement report for a device billed under G0429
- Watch G0429 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0429
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.