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HCPCS G0337 · Level II · G code

G0337: Hospice evaluation and counseling services, pre-election, 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 G0337

Medicare payment
no PFS amount
PFS status X
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Practitioner MUE
1
MAI 2
OPPS status
SI B
Non-allowed item or service for OPPS
NCCI PTP pairs
81
77 hospital outpatient
LCDs and articles
0 / 0

TL;DR

CMS describes HCPCS G0337, added in 2005, as "Hospice evaluation and counseling services, pre-election". The physician fee schedule lists G0337 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. CMS caps G0337 at practitioner 1 (MAI 2, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. In the NCCI PTP files v323r0 G0337 appears in 2 practitioner pairs as column 2 and 79 as column 1 (most often with 99483, 99497), and in 2 hospital outpatient pairs as column 2 and 75 as column 1. No current LCD or billing article lists G0337; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage). OPPS status indicator B: Non-allowed item or service for OPPS. HCPCS record: BETOS M5D (specialist - other); pricing indicator 11; type of service 1 (medical care). Nearby codes: G0339, G0340, G0330, G0328.

G0337 descriptor and code status

The October 2026 HCPCS Level II file describes G0337 as “Hospice evaluation and counseling services, pre-election”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes.

HCPCS file attributes of G0337
FieldValue
Short descriptorHospice evaluation preelecti
Added to HCPCS2005-01-01
Last actionN (no maintenance), effective 2005-01-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator11: physician fee schedule, priced with national RVUs
BETOS categoryM5D: specialist - other
Type of service1: medical care

Medicare payment for G0337

The physician fee schedule lists G0337 with status X (statutory exclusion: not a physician service under the fee schedule), 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 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).

PFS relative values and national payment for G0337
ComponentNon-facilityFacility
Work RVU1.421.42
Practice expense RVU0.620.31
Malpractice RVU0.080.08
Total RVUs2.121.81
National payment (CF $33.4009)n/an/a
Qualifying APM participant (CF $n/a)n/an/a
  • Multiple procedures (modifier 51): multiple-procedure concept does not apply
  • Bilateral (modifier 50): bilateral concept does not apply
  • Assistant at surgery: assistant-at-surgery concept does not apply; co-surgeons: co-surgery concept does not apply; team surgery: team-surgery concept does not apply
  • Physician supervision of diagnostic procedures: supervision concept does not apply

Hospital outpatient (OPPS Addendum B)

Status indicator B (Non-allowed item or service for OPPS), with no separate OPPS payment rate.

Medically Unlikely Edits for G0337

CMS caps G0337 at practitioner 1 (MAI 2, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. The practitioner MUE is a date-of-service policy edit: units above the limit deny even when split across lines, and appeals rarely succeed.

MUE values for G0337 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services12 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
Facility outpatient hospital12 Date of Service Edit: PolicyCode Descriptor / CPT Instruction

The MUE lookup for G0337 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

In the practitioner PTP file v323r0, G0337 is the column-2 (bundled) code in 2 active pairs, 0% of which allow a modifier and the column-1 code in 79 (15% modifier-allowed); 87 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: Mutually exclusive procedures.

Column-1 codes most often paired with G0337 (practitioner)
Column-1 codePairs
99483 (CPT; descriptor licensed by AMA)1
99497 (CPT; descriptor licensed by AMA)1
Column-2 codes bundled into G0337 (practitioner)
Column-2 codePairs
36591 (CPT; descriptor licensed by AMA)1
36592 (CPT; descriptor licensed by AMA)1
90832 (CPT; descriptor licensed by AMA)1
90833 (CPT; descriptor licensed by AMA)1
90834 (CPT; descriptor licensed by AMA)1
90836 (CPT; descriptor licensed by AMA)1
90837 (CPT; descriptor licensed by AMA)1
90838 (CPT; descriptor licensed by AMA)1

In the hospital outpatient PTP file v323r0, G0337 is the column-2 (bundled) code in 2 active pairs, 100% of which allow a modifier and the column-1 code in 75 (45% modifier-allowed); 88 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: Mutually exclusive procedures.

Column-1 codes most often paired with G0337 (hospital outpatient)
Column-1 codePairs
99483 (CPT; descriptor licensed by AMA)1
99497 (CPT; descriptor licensed by AMA)1
Column-2 codes bundled into G0337 (hospital outpatient)
Column-2 codePairs
90832 (CPT; descriptor licensed by AMA)1
90833 (CPT; descriptor licensed by AMA)1
90834 (CPT; descriptor licensed by AMA)1
90836 (CPT; descriptor licensed by AMA)1
90837 (CPT; descriptor licensed by AMA)1
90838 (CPT; descriptor licensed by AMA)1
90839 (CPT; descriptor licensed by AMA)1
90845 (CPT; descriptor licensed by AMA)1

G0337 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 G0337 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for G0337

No current LCD or billing and coding article lists G0337. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Denials to expect on G0337

CARC 50 · N115

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

CARC 151 · N362

units of G0337 exceed the practitioner 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 G0337 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G0337 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 G0337

What does HCPCS code G0337 describe?

"Hospice evaluation and counseling services, pre-election" (short descriptor "Hospice evaluation preelecti"), in the G section (procedures and professional services, temporary). Added 2005-01-01.

Is G0337 a CPT code?

It is not. G0337 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 G0337?

The physician fee schedule lists G0337 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it.

How many units of G0337 can be billed per day?

CMS caps G0337 at practitioner 1 (MAI 2, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. For the practitioner MUE (MAI 2), units above 1 deny for the whole day as a policy limit; denials arrive as CARC 151.

Does Medicare cover G0337?

No current LCD or billing article lists G0337; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage).

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.