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HCPCS G0295 · Level II · G code

G0295: Electromagnetic therapy, to one or more areas, 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 G0295

Medicare payment
no PFS amount
PFS status N
Coverage code
M
non-covered by Medicare
Practitioner MUE
0
MAI 3
OPPS status
SI E1
Non-allowed item or service
NCCI PTP pairs
3
practitioner file
LCDs and articles
1 / 1

TL;DR

CMS describes HCPCS G0295, added in 2003, as "Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses". The physician fee schedule lists G0295 with status N (not covered by Medicare), so the PFS carries no national amount for it. CMS caps G0295 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy) units per day in the 2026 Q4 MUE tables. In the NCCI PTP files v323r0 G0295 appears in 0 practitioner pairs as column 2 and 3 as column 1. 1 active LCD and 1 billing and coding article list G0295 across 5 states: L33631 (Outpatient Physical and Occupational Therapy Services), A56566. OPPS status indicator E1: Non-allowed item or service. HCPCS record: BETOS I2B (advanced imaging - CT: other); pricing indicator 00; type of service 1 (medical care), U (occupational therapy), W (physical therapy). 1 other active code opens with "Electromagnetic therapy"; related codes: G0329, G0296, G0289, G0283.

G0295 descriptor and code status

The October 2026 HCPCS Level II file describes G0295 as “Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes.

HCPCS file attributes of G0295
FieldValue
Short descriptorElectromagnetic therapy onc
Added to HCPCS2003-04-01
Last actionN (no maintenance), effective 2004-07-01
Coverage codeM: non-covered by Medicare
Pricing indicator00: not separately priced by Part B
BETOS categoryI2B: advanced imaging - CT: other
Type of service1: medical care; U: occupational therapy; W: physical therapy

Medicare payment for G0295

The physician fee schedule lists G0295 with status N (not covered by Medicare), 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 N: not covered by Medicare. 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 E1 (Non-allowed item or service), with no separate OPPS payment rate.

Medically Unlikely Edits for G0295

CMS caps G0295 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy) 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.

MUE values for G0295 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services03 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital03 Date of Service Edit: ClinicalCMS Policy

The MUE lookup for G0295 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

In the practitioner PTP file v323r0, G0295 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 codes bundled into G0295 (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

G0295 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 G0295 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for G0295

1 active Local Coverage Determination and 1 billing and coding article list G0295. 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 G0295
ArticleTitleContractor(s)Related LCD
A56566Billing and Coding: Outpatient Physical and Occupational Therapy ServicesWellpoint FederalL33631

Denials to expect on G0295

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists G0295

CARC 151 · N362

units of G0295 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 G0295 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G0295 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 G0295

What does HCPCS code G0295 describe?

"Electromagnetic therapy, to one or more areas, for wound care other than described in g0329 or for other uses" (short descriptor "Electromagnetic therapy onc"), in the G section (procedures and professional services, temporary). Added 2003-04-01; last action N (no maintenance) effective 2004-07-01.

Is G0295 a CPT code?

It is not. G0295 belongs to the G section (procedures and professional services, temporary) of HCPCS Level II, the CMS code set, not to AMA CPT.

What does Medicare pay for G0295?

The physician fee schedule lists G0295 with status N (not covered by Medicare), so the PFS carries no national amount for it.

How many units of G0295 can be billed per day?

CMS caps G0295 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy) units per day in the 2026 Q4 MUE tables. 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 G0295?

Coverage code M (non-covered by Medicare). 1 active LCD and 1 billing and coding article list G0295 across 5 states: L33631 (Outpatient Physical and Occupational Therapy Services), A56566.

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.