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Other services paid under a fee schedule or outside one: HCPCS Level II codes

98 active HCPCS Level II codes from the October 2026 file fall in this category, defined by BETOS Y1 and Y2 (other). By code range: 75 G codes, 11 Q codes for services and supplies (non-drug), 3 E codes, 3 Other Level II codes and a few from other ranges. BETOS codes in the HCPCS file: Y2 (other - non-Medicare fee schedule, 55); Y1 (other - Medicare fee schedule, 43). DMEPOS payment categories among them: capped rental items (2). 23 carry a national Medicare amount in a 2026 fee schedule or OPPS addendum, and 33 have an indexed reference page.

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); DMEPOS fee schedule: DME26-D (October 2026) (effective October 1, 2026); Clinical Laboratory Fee Schedule: 26CLABQ4 (CY2026 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 DMEPOS fee schedule and Clinical Laboratory Fee Schedule and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Most searched codes in this category

Monthly US Google searches for the bare code (Google Ads, measured October 9, 2026) show which codes in this category coders and billers look up most.

Other services paid under a fee schedule or outside one: codes with the most Google searches
CodeShort descriptorMedicare amountSearches / month
G0444Depression screen annual$18.701,000
G0151Hhcp-serv of pt,ea 15 min—880
G0447Behavior counsel obesity 15m$34.07720
G0156Hhcp-svs of aide,ea 15 min—590
G0180Md certification hha patient$56.78590
G0108Diab manage trn per indiv$55.78480
G0442Annual alcohol screen 15 min$18.70480
G0152Hhcp-serv of ot,ea 15 min—390
G0446Intens behave ther cardio dx$34.07390
G0179Md recertification hha pt$44.42320

Codes in this category

33 codes in this category have an indexed reference page; the other 65 active codes follow as a list and keep their own pages for lookups. The Medicare amount is the national figure each code page leads with, and the range column links the HCPCS range hub the code also belongs to.

Other services paid under a fee schedule or outside one: codes with an indexed reference page
CodeDescriptorMedicare amountBasisRange hub
G0102Prostate cancer screening; digital rectal examination$24.38PFS non-facilityG codes
G0108Diabetes outpatient self-management training services, individual, per 30 minutes$55.78PFS non-facilityG codes
G0109Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes$16.03PFS non-facilityG codes
G0129Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more)—none in these filesG codes
G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes—none in these filesG codes
G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes—none in these filesG codes
G0153Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes—none in these filesG codes
G0155Services of clinical social worker in home health or hospice settings, each 15 minutes—none in these filesG codes
G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes—none in these filesG codes
G0157Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes—none in these filesG codes
G0158Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes—none in these filesG codes
G0159Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes—none in these filesG codes
G0160Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes—none in these filesG codes
G0176Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)—none in these filesG codes
G0177Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)—none in these filesG codes
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care$44.42PFS non-facilityG codes
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care$56.78PFS non-facilityG codes
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans$109.89PFS non-facilityG codes
G0182Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more$108.55PFS non-facilityG codes
G0249Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests$65.80PFS non-facilityG codes
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)$34.74PFS non-facilityG codes
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99306, 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418). (do not report g0317 for any time unit less than 15 minutes)$33.73PFS non-facilityG codes
G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes)$34.07PFS non-facilityG codes
G0442Annual alcohol misuse screening, 5 to 15 minutes$18.70PFS non-facilityG codes
G0443Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes$34.40PFS non-facilityG codes
G0444Annual depression screening, 5 to 15 minutes$18.70PFS non-facilityG codes
G0445High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes$34.40PFS non-facilityG codes
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes$34.07PFS non-facilityG codes
G0447Face-to-face behavioral counseling for obesity, 15 minutes$34.07PFS non-facilityG codes
G0448Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber with insertion of pacing electrode, cardiac venous system, for left ventricular pacing—none in these filesG codes
P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled—none in these filesP codes
P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge—none in these filesP codes
Q3014Telehealth originating site facility fee—none in these filesQ codes for services and supplies (non-drug)
Show the other 65 codes (pages not in search results)
  • A4263 Permanent tear duct plug
  • A4300 Cath impl vasc access portal
  • A4550 Surgical trays
  • E0639 Moveable patient lift system
  • E0640 Fixed patient lift system
  • E0769 Electric wound treatment dev
  • G0128 Corf skilled nursing service
  • G0161 Hhc slp ea 15 min
  • G0162 Hhc rn e&m plan svs, 15 min
  • G0293 Non-cov surg proc,clin trial
  • G0294 Non-cov proc, clinical trial
  • G0493 Rn care ea 15 min hh/hospice
  • G0494 Lpn care ea 15min hh/hospice
  • G0495 Rn care train/edu in hh
  • G0496 Lpn care train/edu in hh
  • G2168 Svs by pt in home health
  • G2169 Svs by ot in home health
  • G9001 Mccd, initial rate
  • G9002 Mccd,maintenance rate
  • G9003 Mccd, risk adj hi, initial
  • G9004 Mccd, risk adj lo, initial
  • G9005 Mccd, risk adj, maintenance
  • G9006 Mccd, home monitoring
  • G9007 Mccd, sch team conf
  • G9008 Mccd,phys coor-care ovrsght
  • G9009 Mccd, risk adj, level 3
  • G9010 Mccd, risk adj, level 4
  • G9011 Mccd, risk adj, level 5
  • G9012 Other specified case mgmt
  • G9013 ESRD demo bundle level i
  • G9014 ESRD demo bundle-level ii
  • G9016 Demo-smoking cessation coun
  • G9871 Bhv couns dm prev, onln 60 m
  • G9873 1 em core session
  • G9874 4 em core sessions
  • G9875 9 em core sessions
  • G9876 2 em core ms mo 7-9 no wl
  • G9877 2 em core ms mo 10-12 no wl
  • G9878 2 em core ms mo 7-9 wl
  • G9879 2 em core ms mo 10-12 wl
  • G9880 Em 5 percent wl
  • G9881 Em 9 percent wl
  • G9882 2 em ongoing ms mo 13-15 wl
  • G9883 2 em ongoing ms mo 16-18 wl
  • G9884 2 em ongoing ms mo 19-21 wl
  • G9885 2 em ongoing ms mo 22-24 wl
  • G9886 In-person attendance g code
  • G9887 Distance learning attendance
  • G9888 5% wl maintnd from bsline wt
  • G9890 Em bridge payment
  • G9891 Em session reporting
  • M0075 Cellular therapy
  • M0076 Prolotherapy
  • M0300 Iv chelationtherapy
  • P9048 Plasmaprotein fract,5%,250ml
  • Q5001 Hospice or home hlth in home
  • Q5002 Hospice/home hlth in asst lv
  • Q5003 Hospice in lt/non-skilled nf
  • Q5004 Hospice in snf
  • Q5005 Hospice, inpatient hospital
  • Q5006 Hospice in hospice facility
  • Q5007 Hospice in ltch
  • Q5008 Hospice in inpatient psych
  • Q5009 Hospice/home hlth, place NOS
  • Q5010 Hospice home care in hospice

How this category is built

HCPCS Level II codes are organized by their first letter, which is how the range hubs on this site group them, but one kind of item or service often spans several letters: wheelchairs sit in the E and K ranges, supplies in A, B, Q and T, and imaging in A, C, G, Q and R. This hub regroups the codes by the BETOS category CMS records for each code in the HCPCS file, splitting the large prosthetic and orthotic category by L-code range and keeping vision and hearing items apart, so each non-drug code belongs to exactly one category hub besides its range hub. The national Medicare amount comes from the 2026 physician fee schedule, DMEPOS, clinical laboratory, OPPS or ASC file that prices the code, as on its reference page.

Where QuickIntell fits for other services paid under a fee schedule or outside one

QuickCode supports qualified coder review of units, modifiers and NCCI pairs before the claim leaves, and QuickAuth coordinates requirement checks and documentation for items and services that a coverage policy governs, each with human review.

Frequently asked questions

Which HCPCS codes are grouped under "Other services paid under a fee schedule or outside one"?

98 active Level II codes in the October 2026 file, grouped here by BETOS Y1 and Y2 (other). 33 have a full reference page; the table lists those and the collapsed list names the rest.

What is a BETOS category?

The Berenson-Eggers Type of Service classification groups HCPCS and CPT codes into broad clinical categories such as evaluation and management, procedures, imaging, tests and durable medical equipment. CMS carries a BETOS code for each Level II code in the HCPCS file, which is what this hub reads.

Which code in this category has the highest Medicare amount?

Among the codes with an indexed page, G0181 at $109.89 (PFS non-facility), from the October 2026 files. Each code page shows the full breakdown by modifier, state or locality.

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

Operational reference compiled from CMS publications. Amounts are Medicare national figures before locality and state adjustment; other payers differ. CPT codes appear as numbers only. Not 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.