G0180

G0180 — Physician 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

HCPCSActiveBETOS Y1

G0180 is a HCPCS Level II code for physician 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. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Carrier judgment

Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Physician fee schedule statusA

Active code. Paid separately under the physician fee schedule.

Work RVU: 0.65
PE (non-facility): 1.00
PE (facility): 1.00
Malpractice RVU: 0.05

Global period: XXX

Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.

Medically Unlikely Edits — units per day

The most units of G0180 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.

practitioner: 1 unit
outpatient: 1 unit

The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.

The CMS record for G0180

Long descriptor: Physician 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
Short descriptor: Md certification hha patient
Added: October 1, 2000
BETOS: Y1
Pricing indicator: 11 — Physician fee schedule

Codes adjacent to G0180

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G0180 is not quite right, the correct code is very often within a few positions of it.

G0164Skilled services of a licensed nurse (lpn or rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutesterminated
G0166External counterpulsation, per treatment session
G0168Wound closure utilizing tissue adhesive(s) only
G0173Linear accelerator based stereotactic radiosurgery, complete course of therapy in one sessionterminated
G0175Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present
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)
G0177Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)
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
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
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
G0183Quantitative software measurements of cardiac volume, cardiac chambers volumes and left ventricular wall mass derived from ct scan(s) data of the chest/heart (with or without contrast)
G0186Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)
G0202Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performedterminated
G0204Diagnostic mammography, including computer-aided detection (cad) when performed; bilateralterminated
G0206Diagnostic mammography, including computer-aided detection (cad) when performed; unilateralterminated
G0219Pet imaging whole body; melanoma for non-covered indications

Questions about G0180

What is HCPCS code G0180?

G0180 is a HCPCS Level II code for physician 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. It sits in the Procedures and Professional Services (Temporary) section.

Does Medicare cover G0180?

The CMS HCPCS file marks G0180 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

How is G0180 paid under the physician fee schedule?

G0180 carries PFS status code A. Active code. Paid separately under the physician fee schedule.