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HCPCS G0269 · Level II · G code

G0269: Placement of occlusive device into either a venous or arterial access site, HCPCS Level II G code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026); Medicare Coverage Database LCD export: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file; weekly, every Thursday for the Medicare Coverage Database LCD export.

Key facts for G0269

Medicare payment
no PFS amount
PFS status B
Coverage code
D
special coverage instructions apply
Practitioner MUE
0
MAI 3
OPPS status
SI N
Items and Services packaged into APC rates
NCCI PTP pairs
91
82 hospital outpatient
LCDs and articles
2 / 2

TL;DR

G0269 is a Level II code from the G section (procedures and professional services, temporary), in use since 2003: "Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)". The physician fee schedule lists G0269 with status B (bundled: payment is included in other services), so the PFS carries no national amount for it. Its 2026 Q4 MUEs per date of service: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 3, Nature of Service/Procedure). In the NCCI PTP files v323r0 G0269 appears in 82 practitioner pairs as column 2 and 9 as column 1 (most often with 0338T, 0339T, 0345T), and in 82 hospital outpatient pairs as column 2 and 0 as column 1. 2 active LCDs and 2 billing and coding articles list G0269 across 7 states: L33557 (Cardiac Catheterization and Coronary Angiography), L33959 (Cardiac Catheterization and Coronary Angiography), A52850, A56500. OPPS status indicator N: Items and Services packaged into APC rates. HCPCS record: BETOS P6D (minor procedures - other (non-Medicare fee schedule)); pricing indicator 00; type of service 1 (medical care). Nearby codes: G0268, G0270, G0271, G0277.

G0269 descriptor and code status

The October 2026 HCPCS Level II file describes G0269 as “Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes. Although searches often call it the "G0269 CPT code", G0269 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of G0269
FieldValue
Short descriptorOcclusive device in vein art
Added to HCPCS2003-01-01
Last actionN (no maintenance), effective 2003-01-01
Coverage codeD: special coverage instructions apply
Pricing indicator00: not separately priced by Part B
BETOS categoryP6D: minor procedures - other (non-Medicare fee schedule)
Type of service1: medical care

Medicare payment for G0269

The physician fee schedule lists G0269 with status B (bundled: payment is included in other services), so the PFS carries no national amount for it. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status B: bundled: payment is included in other services. Global period XXX (global surgery concept does not apply); PC/TC indicator 9 (professional/technical concept does not apply).

Hospital outpatient (OPPS Addendum B)

Status indicator N (Items and Services packaged into APC rates), with no separate OPPS payment rate.

Ambulatory surgical center (Addendum AA)

Payment indicator N1 (Packaged service/item; no separate payment made).

Medically Unlikely Edits for G0269

Its 2026 Q4 MUEs per date of service: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 3, Nature of Service/Procedure). The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for G0269 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services03 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital23 Date of Service Edit: ClinicalNature of Service/Procedure

The MUE lookup for G0269 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

In the practitioner PTP file v323r0, G0269 is the column-2 (bundled) code in 82 active pairs, 96% of which allow a modifier and the column-1 code in 9 (0% modifier-allowed); 31 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: CPT Manual or CMS manual coding instruction.

Column-1 codes most often paired with G0269 (practitioner)
Column-1 codePairs
0338T (CPT; descriptor licensed by AMA)1
0339T (CPT; descriptor licensed by AMA)1
0345T (CPT; descriptor licensed by AMA)1
0483T (CPT; descriptor licensed by AMA)1
0484T (CPT; descriptor licensed by AMA)1
0505T (CPT; descriptor licensed by AMA)1
0544T (CPT; descriptor licensed by AMA)1
0620T (CPT; descriptor licensed by AMA)1
Column-2 codes bundled into G0269 (practitioner)
Column-2 codePairs
36591 (CPT; descriptor licensed by AMA)1
36592 (CPT; descriptor licensed by AMA)1
96523 (CPT; descriptor licensed by AMA)1
99446 (CPT; descriptor licensed by AMA)1
99447 (CPT; descriptor licensed by AMA)1
99448 (CPT; descriptor licensed by AMA)1
99449 (CPT; descriptor licensed by AMA)1
99451 (CPT; descriptor licensed by AMA)1

In the hospital outpatient PTP file v323r0, G0269 is the column-2 (bundled) code in 82 active pairs, 96% of which allow a modifier and the column-1 code in 0; 31 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: CPT Manual or CMS manual coding instruction.

Column-1 codes most often paired with G0269 (hospital outpatient)
Column-1 codePairs
0338T (CPT; descriptor licensed by AMA)1
0339T (CPT; descriptor licensed by AMA)1
0345T (CPT; descriptor licensed by AMA)1
0483T (CPT; descriptor licensed by AMA)1
0484T (CPT; descriptor licensed by AMA)1
0505T (CPT; descriptor licensed by AMA)1
0544T (CPT; descriptor licensed by AMA)1
0620T (CPT; descriptor licensed by AMA)1

G0269 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check G0269 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for G0269

2 active Local Coverage Determinations and 2 billing and coding articles list G0269. Each applies only in its contractor's jurisdiction, and the article carries the diagnosis codes that support the item or service.

Billing and Coding Articles listing G0269
ArticleTitleContractor(s)Related LCD
A52850Billing and Coding: Cardiac Catheterization and Coronary AngiographyWellpoint FederalL33557
A56500Billing and Coding: Cardiac Catheterization and Coronary AngiographyCGS Administrators, LLCL33959

Denials to expect on G0269

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists G0269

CARC 151 · N362

units of G0269 exceed the practitioner MUE of 0 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for G0269 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G0269 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS G0269

What does HCPCS code G0269 describe?

"Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug)" (short descriptor "Occlusive device in vein art"), in the G section (procedures and professional services, temporary). Added 2003-01-01.

Is G0269 a CPT code?

No. G0269 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set. Searches for "G0269 CPT code" mean this Level II code.

What does Medicare pay for G0269?

The physician fee schedule lists G0269 with status B (bundled: payment is included in other services), so the PFS carries no national amount for it.

How many units of G0269 can be billed per day?

Its 2026 Q4 MUEs per date of service: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 2 (MAI 3, Nature of Service/Procedure). For the practitioner MUE (MAI 3), units above 0 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover G0269?

Coverage code D (special coverage instructions apply). 2 active LCDs and 2 billing and coding articles list G0269 across 7 states: L33557 (Cardiac Catheterization and Coronary Angiography), L33959 (Cardiac Catheterization and Coronary Angiography), A52850, A56500.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.