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HCPCS G0330 · Level II · G code

G0330: Facility svs dental rehab, 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). 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.

Key facts for G0330

Medicare payment
$3,387.27
OPPS rate, SI J1
Coverage code
D
special coverage instructions apply
Facility outpatient MUE
1
MAI 3
OPPS status
SI J1
Hospital Part B services paid through a comprehensive APC
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

HCPCS Level II G0330 reads "Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room" in the October 2026 file; it dates from 2023. Hospital outpatient departments are paid $3,387.27 for G0330 under status indicator J1, APC 5164 (Level 4 ENT Procedures), minimum unadjusted copayment $677.46 (October 2026 Addendum B). MUE limits for G0330: practitioner 1 (MAI 3, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 3, Code Descriptor / CPT Instruction). G0330 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 P1G (major procedure - other); pricing indicator 53; type of service 2 (surgery). Nearby codes: G0328, G0327, G0323, G0339.

G0330 descriptor and code status

The October 2026 HCPCS Level II file describes G0330 as “Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes. Although searches often call it the "G0330 CPT code", G0330 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 G0330
FieldValue
Short descriptorFacility svs dental rehab
Added to HCPCS2023-01-01
Last actionN (no maintenance), effective 2024-01-01
Coverage codeD: special coverage instructions apply
Pricing indicator53: statute
BETOS categoryP1G: major procedure - other
Type of service2: surgery

Medicare payment for G0330

Hospital outpatient departments are paid $3,387.27 for G0330 under status indicator J1, APC 5164 (Level 4 ENT Procedures), minimum unadjusted copayment $677.46 (October 2026 Addendum B). 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 X: statutory exclusion: not a physician service under the fee schedule. 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 J1 (Hospital Part B services paid through a comprehensive APC), APC 5164 (Level 4 ENT Procedures), national unadjusted payment $3,387.27 with a minimum unadjusted copayment of $677.46.

Ambulatory surgical center (Addendum AA)

Payment indicator D2 (Non office-based dental procedure added in CY 2024 or later), national rate $1,480.50 at a payment weight of 26.2864. The multiple-procedure discount applies when it is billed with another ASC procedure.

Medically Unlikely Edits for G0330

MUE limits for G0330: practitioner 1 (MAI 3, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 3, Code Descriptor / CPT Instruction). The facility outpatient MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for G0330 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services13 Date of Service Edit: ClinicalCode Descriptor / CPT Instruction
Facility outpatient hospital13 Date of Service Edit: ClinicalCode Descriptor / CPT Instruction

The MUE lookup for G0330 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists G0330 in v323r0.

G0330 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 G0330 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for G0330

No current LCD or billing and coding article lists G0330. The HCPCS coverage code D means special coverage instructions apply, and any National Coverage Determination for the service still applies.

Denials to expect on G0330

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of G0330 exceed the facility outpatient MUE of 1 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 G0330 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G0330 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 G0330

What does HCPCS code G0330 describe?

"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room" (short descriptor "Facility svs dental rehab"), in the G section (procedures and professional services, temporary). Added 2023-01-01; last action N (no maintenance) effective 2024-01-01.

Is G0330 a CPT code?

No: CMS maintains G0330 in HCPCS Level II, while the AMA maintains CPT. People do search "G0330 CPT code", and it goes in the same procedure-code field.

What does Medicare pay for G0330?

Hospital outpatient departments are paid $3,387.27 for G0330 under status indicator J1, APC 5164 (Level 4 ENT Procedures), minimum unadjusted copayment $677.46 (October 2026 Addendum B).

How many units of G0330 can be billed per day?

MUE limits for G0330: practitioner 1 (MAI 3, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 3, Code Descriptor / CPT Instruction). For the facility outpatient MUE (MAI 3), units above 1 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover G0330?

G0330 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.

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.