Key facts for G0277
- Medicare payment
- $193.73
- PFS non-facility, national
- Coverage code
- D
- special coverage instructions apply
- Practitioner MUE
- 5
- MAI 3
- NCCI PTP pairs
- 3
- practitioner file
- LCDs and articles
- 0 / 0
TL;DR
CMS describes HCPCS G0277, added in 2015, as "Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval". National PFS payment for G0277 is $193.73 in an office and no facility amount in a facility (October 2026), built from 0.00 work, 5.76 practice-expense and 0.04 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $194.69 at $33.5675. CMS caps G0277 at practitioner 5 (MAI 3, Clinical: Data); hospital outpatient 5 (MAI 3, Clinical: Data) units per day in the 2026 Q4 MUE tables. In the NCCI PTP files v323r0 G0277 appears in 0 practitioner pairs as column 2 and 3 as column 1. G0277 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD. HCPCS record: BETOS P5E (ambulatory procedures - other); pricing indicator 13; type of service 1 (medical care). Nearby codes: G0278, G0279, G0281, G0282.
G0277 descriptor and code status
The October 2026 HCPCS Level II file describes G0277 as “Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes. Although searches often call it the "G0277 CPT code", G0277 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.
| Field | Value |
|---|---|
| Short descriptor | Hbot, full body chamber, 30m |
| Added to HCPCS | 2015-01-01 |
| Last action | N (no maintenance), effective 2015-01-01 |
| Coverage code | D: special coverage instructions apply |
| Pricing indicator | 13: physician fee schedule, priced by the contractor |
| BETOS category | P5E: ambulatory procedures - other |
| Type of service | 1: medical care |
Medicare payment for G0277
National PFS payment for G0277 is $193.73 in an office and no facility amount in a facility (October 2026), built from 0.00 work, 5.76 practice-expense and 0.04 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $194.69 at $33.5675. 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 A: active: paid separately under the physician fee schedule when covered. Global period XXX (global surgery concept does not apply); PC/TC indicator 3 (technical component only).
| Component | Non-facility | Facility |
|---|---|---|
| Work RVU | 0.00 | 0.00 |
| Practice expense RVU | 5.76 | NA |
| Malpractice RVU | 0.04 | 0.04 |
| Total RVUs | 5.80 | NA |
| National payment (CF $33.4009) | $193.73 | n/a |
| Qualifying APM participant (CF $33.5675) | $194.69 | n/a |
- Multiple procedures (modifier 51): no multiple-procedure reduction
- Bilateral (modifier 50): 150% bilateral adjustment does not apply
- Assistant at surgery: assistant at surgery paid only with documentation; co-surgeons: co-surgeons not permitted; team surgery: team surgeons not permitted
- Physician supervision of diagnostic procedures: supervision concept does not apply
Hospital outpatient (OPPS Addendum B)
Status indicator S (Procedure or service, not discounted when multiple), APC 5061 (Hyperbaric Oxygen), national unadjusted payment $140.59 with a minimum unadjusted copayment of $28.12.
Medically Unlikely Edits for G0277
CMS caps G0277 at practitioner 5 (MAI 3, Clinical: Data); hospital outpatient 5 (MAI 3, Clinical: Data) units per day in the 2026 Q4 MUE tables. The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.
| Setting | MUE (units/DOS) | MAI | CMS rationale |
|---|---|---|---|
| Practitioner services | 5 | 3 Date of Service Edit: Clinical | Clinical: Data |
| Facility outpatient hospital | 5 | 3 Date of Service Edit: Clinical | Clinical: Data |
The MUE lookup for G0277 shows every setting next to any other code on the same claim.
NCCI edits and add-on rules
In the practitioner PTP file v323r0, G0277 is the column-2 (bundled) code in 0 active pairs and the column-1 code in 3 (0% modifier-allowed); 0 earlier pairs have been deleted.
| Column-2 code | Pairs |
|---|---|
| 36591 (CPT; descriptor licensed by AMA) | 1 |
| 36592 (CPT; descriptor licensed by AMA) | 1 |
| 96523 (CPT; descriptor licensed by AMA) | 1 |
G0277 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 G0277 against a second code to see whether the pair bundles and whether a modifier can separate the services.
Medicare coverage policies for G0277
No current LCD or billing and coding article lists G0277. The HCPCS coverage code D means special coverage instructions apply, and any National Coverage Determination for the service still applies.
Denials to expect on G0277
the modifier reported is inconsistent with the code
the claim lacks the description, invoice or pricing detail a contractor-priced code needs
Where QuickIntell fits for G0277 claims
QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G0277 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.
Frequently asked questions: HCPCS G0277
What does HCPCS code G0277 describe?
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval" (short descriptor "Hbot, full body chamber, 30m"), in the G section (procedures and professional services, temporary). Added 2015-01-01.
Is G0277 a CPT code?
It is not. G0277 belongs to the G section (procedures and professional services, temporary) of HCPCS Level II, the CMS code set, not to AMA CPT. "G0277 CPT code" searches refer to it.
What does Medicare pay for G0277?
National PFS payment for G0277 is $193.73 in an office and no facility amount in a facility (October 2026), built from 0.00 work, 5.76 practice-expense and 0.04 malpractice RVUs at $33.4009 per RVU. Qualifying APM participants get $194.69 at $33.5675.
How many units of G0277 can be billed per day?
CMS caps G0277 at practitioner 5 (MAI 3, Clinical: Data); hospital outpatient 5 (MAI 3, Clinical: Data) units per day in the 2026 Q4 MUE tables. For the practitioner MUE (MAI 3), units above 5 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.
Does Medicare cover G0277?
G0277 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD.
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.
- HCPCS Level II alpha-numeric file, October 2026Version October 2026 · effective 2026-10-01 · file HCPC2026_OCT_ANWEB_09232026.txtSHA-256 c25240c63108756d…
- Medicare PFS national relative value file RVU26D (non-QPP), October 2026Version RVU26D, released 2026-08-26 · effective 2026-10-01 · file PPRRVU2026_Oct_nonQPP.csvSHA-256 4d0d3f19bd954ffc…
- Medicare PFS national relative value file RVU26D (qualifying APM participants), October 2026Version RVU26D, released 2026-08-26 · effective 2026-10-01 · file PPRRVU2026_Oct_QPP.csvSHA-256 59d3734704853936…
- OPPS Addendum B, October 2026Version October 2026 · effective 2026-10-01 · file 508-compliant-version-2026_October_Web_Addendum_B.09.28.26.csvSHA-256 6ad7393a318bf1b9…
- Integrated Outpatient Code Editor v27.3 data tables: status and payment indicatorsVersion I/OCE v27.3 (October 2026) · effective 2026-10-01 · file Data_Status_Indicator.txtSHA-256 78f119ef0a435351…
- NCCI MUE table, practitioner services, effective 2026-10-01Version 2026 Q4 · effective 2026-10-01 · file MCR_MUE_PractitionerServices_Eff_10-01-2026.csvSHA-256 ef038efaf902b7bd…
- NCCI MUE table, facility services, effective 2026-10-01Version 2026 Q4 · effective 2026-10-01 · file MCR_MUE_OutpatientHospitalServices_Eff_10-01-2026.csvSHA-256 3af9f4e99cc587e2…
- NCCI MUE table, dme services, effective 2026-10-01Version 2026 Q4 · effective 2026-10-01 · file MCR_MUE_DMESupplierServices_Eff_10-01-2026.csvSHA-256 6fa4fbba852f7b74…
- NCCI PTP edits, practitioner, v323r0 (four files)Version v323r0 (2026 Q4) · effective 2026-10-01 · file ccipra-v323r0-f1.TXTSHA-256 7793c0b6686c1e22…
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.