Key facts for G0410
- Medicare payment
- no PFS amount
- PFS status X
- Coverage code
- C
- carrier judgment, so the Medicare contractor decides coverage
- Practitioner MUE
- 4
- MAI 3
- NCCI PTP pairs
- 111
- 87 hospital outpatient
- LCDs and articles
- 5 / 5
- on the Medicare telehealth list
TL;DR
G0410 is a Level II code from the G section (procedures and professional services, temporary), in use since 2009: "Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes". The physician fee schedule lists G0410 with status X (statutory exclusion: not a physician service under the fee schedule), so the PFS carries no national amount for it. Its 2026 Q4 MUEs per date of service: practitioner 4 (MAI 3, Clinical: CMS Workgroup); hospital outpatient 6 (MAI 3, Nature of Service/Procedure). In the NCCI PTP files v323r0 G0410 appears in 24 practitioner pairs as column 2 and 87 as column 1 (most often with 0889T, 0890T, 0891T), and in 13 hospital outpatient pairs as column 2 and 74 as column 1. 5 active LCDs and 5 billing and coding articles list G0410 across 18 states: L33626 (Psychiatric Partial Hospitalization Programs), L37633 (Partial Hospitalization Programs), A56685, A56850. It is on the CY2026 Medicare telehealth list (CMS action: Maintain). OPPS status indicator P: Partial Hospitalization or Intensive Outpatient Program. HCPCS record: BETOS P6D (minor procedures - other (non-Medicare fee schedule)); pricing indicator 13; type of service 1 (medical care). Nearby codes: G0411, G0408, G0407, G0413.
G0410 descriptor and code status
The October 2026 HCPCS Level II file describes G0410 as “Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes. Although searches often call it the "G0410 CPT code", G0410 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 | Grp psych php/iop 45-50 |
| Added to HCPCS | 2009-01-01 |
| Last action | N (no maintenance), effective 2024-01-01 |
| Coverage code | C: carrier judgment, so the Medicare contractor decides coverage |
| Pricing indicator | 13: physician fee schedule, priced by the contractor |
| BETOS category | P6D: minor procedures - other (non-Medicare fee schedule) |
| Type of service | 1: medical care |
Medicare payment for G0410
The physician fee schedule lists G0410 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).
Hospital outpatient (OPPS Addendum B)
Status indicator P (Partial Hospitalization or Intensive Outpatient Program), with no separate OPPS payment rate.
Medically Unlikely Edits for G0410
Its 2026 Q4 MUEs per date of service: practitioner 4 (MAI 3, Clinical: CMS Workgroup); hospital outpatient 6 (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.
| Setting | MUE (units/DOS) | MAI | CMS rationale |
|---|---|---|---|
| Practitioner services | 4 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup |
| Facility outpatient hospital | 6 | 3 Date of Service Edit: Clinical | Nature of Service/Procedure |
The MUE lookup for G0410 shows every setting next to any other code on the same claim.
NCCI edits and add-on rules
In the practitioner PTP file v323r0, G0410 is the column-2 (bundled) code in 24 active pairs, 96% of which allow a modifier and the column-1 code in 87 (80% modifier-allowed); 153 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: Mutually exclusive procedures.
| Column-1 code | Pairs |
|---|---|
| 0889T (CPT; descriptor licensed by AMA) | 1 |
| 0890T (CPT; descriptor licensed by AMA) | 1 |
| 0891T (CPT; descriptor licensed by AMA) | 1 |
| 0892T (CPT; descriptor licensed by AMA) | 1 |
| 90791 (CPT; descriptor licensed by AMA) | 1 |
| 90792 (CPT; descriptor licensed by AMA) | 1 |
| 90832 (CPT; descriptor licensed by AMA) | 1 |
| 90833 (CPT; descriptor licensed by AMA) | 1 |
| Column-2 code | Pairs |
|---|---|
| 36591 (CPT; descriptor licensed by AMA) | 1 |
| 36592 (CPT; descriptor licensed by AMA) | 1 |
| 36640 (CPT; descriptor licensed by AMA) | 1 |
| 90845 (CPT; descriptor licensed by AMA) | 1 |
| 90846 (CPT; descriptor licensed by AMA) | 1 |
| 90847 (CPT; descriptor licensed by AMA) | 1 |
| 90849 (CPT; descriptor licensed by AMA) | 1 |
| 90853 (CPT; descriptor licensed by AMA) | 1 |
In the hospital outpatient PTP file v323r0, G0410 is the column-2 (bundled) code in 13 active pairs, 100% of which allow a modifier and the column-1 code in 74 (91% modifier-allowed); 123 earlier pairs have been deleted. CMS's most frequent rationale for the bundled pairs: Mutually exclusive procedures.
| Column-1 code | Pairs |
|---|---|
| 0889T (CPT; descriptor licensed by AMA) | 1 |
| 0890T (CPT; descriptor licensed by AMA) | 1 |
| 0891T (CPT; descriptor licensed by AMA) | 1 |
| 0892T (CPT; descriptor licensed by AMA) | 1 |
| 90867 (CPT; descriptor licensed by AMA) | 1 |
| 90868 (CPT; descriptor licensed by AMA) | 1 |
| 90869 (CPT; descriptor licensed by AMA) | 1 |
| 90901 (CPT; descriptor licensed by AMA) | 1 |
| Column-2 code | Pairs |
|---|---|
| 36640 (CPT; descriptor licensed by AMA) | 1 |
| 90870 (CPT; descriptor licensed by AMA) | 1 |
| 96127 (CPT; descriptor licensed by AMA) | 1 |
| 96156 (CPT; descriptor licensed by AMA) | 1 |
| 96158 (CPT; descriptor licensed by AMA) | 1 |
| 96159 (CPT; descriptor licensed by AMA) | 1 |
| 96164 (CPT; descriptor licensed by AMA) | 1 |
| 96165 (CPT; descriptor licensed by AMA) | 1 |
G0410 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 G0410 against a second code to see whether the pair bundles and whether a modifier can separate the services.
Medicare coverage policies for G0410
5 active Local Coverage Determinations and 5 billing and coding articles list G0410. Each applies only in its contractor's jurisdiction, and the article carries the diagnosis codes that support the item or service.
- LCD L33626: Psychiatric Partial Hospitalization Programs · Wellpoint Federal
- Partial Hospitalization Programs, LCD L37633 · Palmetto GBA
- Outpatient Psychotherapy (L39853) · Palmetto GBA
- L34196 Psychiatric Partial Hospitalization Programs · CGS Administrators, LLC
- L34616 Psychiatry and Psychology Services · Wisconsin Physicians Service Insurance Corporation
| Article | Title | Contractor(s) | Related LCD |
|---|---|---|---|
| A56685 | Billing and Coding: Partial Hospitalization Programs | Palmetto GBA | L37633 |
| A56850 | Billing and Coding: Psychiatric Partial Hospitalization Programs | Wellpoint Federal | L33626 |
| A57053 | Billing and Coding: Psychiatric Partial Hospitalization Programs | CGS Administrators, LLC | L34196 |
| A57480 | Billing and Coding: Psychiatry and Psychology Services | Wisconsin Physicians Service Insurance Corporation | L34616 |
| A59723 | Billing and Coding: Outpatient Psychotherapy | Palmetto GBA | L39853 |
Telehealth status
G0410 is on the CY2026 Medicare telehealth services list (CMS action: Maintain). Bill it with the place-of-service code and modifiers that match where the patient and the practitioner are on the date of service.
Denials to expect on G0410
the diagnosis or documentation does not meet the LCD or billing article that lists G0410
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 G0410 claims
QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G0410 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 G0410
What does HCPCS code G0410 describe?
"Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes" (short descriptor "Grp psych php/iop 45-50"), in the G section (procedures and professional services, temporary). Added 2009-01-01; last action N (no maintenance) effective 2024-01-01.
Is G0410 a CPT code?
No. G0410 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set. Searches for "G0410 CPT code" mean this Level II code.
What does Medicare pay for G0410?
The physician fee schedule lists G0410 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 G0410 can be billed per day?
Its 2026 Q4 MUEs per date of service: practitioner 4 (MAI 3, Clinical: CMS Workgroup); hospital outpatient 6 (MAI 3, Nature of Service/Procedure). For the practitioner MUE (MAI 3), units above 4 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.
Does Medicare cover G0410?
Coverage code C (carrier judgment, so the Medicare contractor decides coverage). 5 active LCDs and 5 billing and coding articles list G0410 across 18 states: L33626 (Psychiatric Partial Hospitalization Programs), L37633 (Partial Hospitalization Programs), A56685, A56850.
Can G0410 be billed as telehealth?
Yes. G0410 is on the CY2026 Medicare telehealth list (Maintain); the place-of-service and modifier rules on the date of service still apply.
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…
- NCCI PTP edits, hospital outpatient, v323r0 (four files)Version v323r0 (2026 Q4) · effective 2026-10-01 · file ccioph-v323r0-f1.txtSHA-256 063f41b91ef9faa2…
- List of Medicare telehealth services, calendar year 2026Version CY2026 PFS final rule list · effective 2026-01-01 · file CY 2026 PFS Final List of Medicare Telehealth Services.xlsxSHA-256 37a2639174aab141…
- Medicare Coverage Database, current Billing and Coding Articles exportVersion MCD release 2026-10-08 · effective 2026-10-04 · file article.csvSHA-256 5e95c4a8ac3664be…
- Medicare Coverage Database, current LCD exportVersion MCD release 2026-10-08 · effective 2026-10-04 · file lcd.csvSHA-256 9aee1bd7f14056b0…
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.