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HCPCS G0560 · Level II · G code

G0560: Safety planning interventions, 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 G0560

Medicare payment
$42.42
PFS non-facility, national; facility $39.41
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Practitioner MUE
1
MAI 3
OPPS status
SI A
Services not paid under OPPS; paid under fee schedule or other payment system
NCCI PTP pairs
0
practitioner file
LCDs and articles
4 / 2
on the Medicare telehealth list

TL;DR

CMS describes HCPCS G0560, added in 2025, as "Safety planning interventions, each 20 minutes personally performed by the billing practitioner, including assisting the patient in the identification of the following personalized elements of a safety plan: recognizing warning signs of an impending suicidal or substance use-related crisis; employing internal coping strategies; utilizing social contacts and social settings as a means of distraction from suicidal thoughts or risky substance use; utilizing family members, significant others, caregivers, and/or friends to help resolve the crisis; contacting mental health or substance use disorder professionals or agencies; and making the environment safe". Under the 2026 physician fee schedule (October release) G0560 carries 1.09 work, 0.17 practice-expense and 0.01 malpractice RVUs, which at $33.4009 per RVU pays $42.42 non-facility and $39.41 facility before the locality adjustment. Qualifying APM participants get $42.63 at $33.5675. Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 3, Code Descriptor / CPT Instruction). 4 active LCDs and 2 billing and coding articles list G0560 across 5 states plus DC and 2 territories: L33252 (Psychiatric Diagnostic Evaluation and Psychotherapy Services), L35022 (Bariatric Surgical Management of Morbid Obesity), A57130, A57520. It is on the CY2026 Medicare telehealth list (CMS action: Maintain). OPPS status indicator A: Services not paid under OPPS; paid under fee schedule or other payment system. HCPCS record: BETOS M5D (specialist - other); pricing indicator 13; type of service 1 (medical care). Nearby codes: G0557, G0553, G0570, G0545.

G0560 descriptor and code status

The October 2026 HCPCS Level II file describes G0560 as “Safety planning interventions, each 20 minutes personally performed by the billing practitioner, including assisting the patient in the identification of the following personalized elements of a safety plan: recognizing warning signs of an impending suicidal or substance use-related crisis; employing internal coping strategies; utilizing social contacts and social settings as a means of distraction from suicidal thoughts or risky substance use; utilizing family members, significant others, caregivers, and/or friends to help resolve the crisis; contacting mental health or substance use disorder professionals or agencies; and making the environment safe”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes.

HCPCS file attributes of G0560
FieldValue
Short descriptorSafety plan interven
Added to HCPCS2025-01-01
Last actionN (no maintenance), effective 2025-01-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator13: physician fee schedule, priced by the contractor
BETOS categoryM5D: specialist - other
Type of service1: medical care

Medicare payment for G0560

Under the 2026 physician fee schedule (October release) G0560 carries 1.09 work, 0.17 practice-expense and 0.01 malpractice RVUs, which at $33.4009 per RVU pays $42.42 non-facility and $39.41 facility before the locality adjustment. Qualifying APM participants get $42.63 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 0 (physician service; the professional/technical split does not apply).

PFS relative values and national payment for G0560
ComponentNon-facilityFacility
Work RVU1.091.09
Practice expense RVU0.170.08
Malpractice RVU0.010.01
Total RVUs1.271.18
National payment (CF $33.4009)$42.42$39.41
Qualifying APM participant (CF $33.5675)$42.63$39.61
  • 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 A (Services not paid under OPPS; paid under fee schedule or other payment system), with no separate OPPS payment rate.

Medically Unlikely Edits for G0560

Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 3, Code Descriptor / CPT Instruction). 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 G0560 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 G0560 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists G0560 in v323r0.

G0560 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 G0560 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for G0560

4 active Local Coverage Determinations and 2 billing and coding articles list G0560. 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 G0560
ArticleTitleContractor(s)Related LCD
A57130Billing and Coding: Psychiatric CodesNovitas Solutions, Inc.L35022, L35070, L35101
A57520Billing and Coding: Psychiatric Diagnostic Evaluation and Psychotherapy ServicesFirst Coast Service Options, Inc.L33252

Telehealth status

G0560 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 G0560

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists G0560

CARC 151 · N362

units of G0560 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 the description, invoice or pricing detail a contractor-priced code needs

Where QuickIntell fits for G0560 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G0560 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 G0560

What does HCPCS code G0560 describe?

"Safety planning interventions, each 20 minutes personally performed by the billing practitioner, including assisting the patient in the identification of the following personalized elements of a safety plan: recognizing warning signs of an impending suicidal or substance use-related crisis; employing internal coping strategies; utilizing social contacts and social settings as a means of distraction from suicidal thoughts or risky substance use; utilizing family members, significant others, caregivers, and/or friends to help resolve the crisis; contacting mental health or substance use disorder professionals or agencies; and making the environment safe" (short descriptor "Safety plan interven"), in the G section (procedures and professional services, temporary). Added 2025-01-01.

Is G0560 a CPT code?

No. G0560 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set.

What does Medicare pay for G0560?

Under the 2026 physician fee schedule (October release) G0560 carries 1.09 work, 0.17 practice-expense and 0.01 malpractice RVUs, which at $33.4009 per RVU pays $42.42 non-facility and $39.41 facility before the locality adjustment. Qualifying APM participants get $42.63 at $33.5675.

How many units of G0560 can be billed per day?

Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 3, Code Descriptor / CPT Instruction). For the practitioner 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 G0560?

Coverage code C (carrier judgment, so the Medicare contractor decides coverage). 4 active LCDs and 2 billing and coding articles list G0560 across 5 states plus DC and 2 territories: L33252 (Psychiatric Diagnostic Evaluation and Psychotherapy Services), L35022 (Bariatric Surgical Management of Morbid Obesity), A57130, A57520.

Can G0560 be billed as telehealth?

Yes. G0560 is on the CY2026 Medicare telehealth list (Maintain); the place-of-service and modifier rules on the date of service still apply.

CMS guidance

The Medicare Learning Network publication that CMS issues on this topic, cited by ICN and publication date:

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.