G4026: Physical therapy/occupational therapy mips specialty set
G4026 is a HCPCS Level II code for physical therapy/occupational therapy mips specialty set. 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 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusM
Measurement code. Used for reporting purposes only; never paid.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for G4026
- Long descriptor
- Physical therapy/occupational therapy mips specialty set
- Short descriptor
- Phys/occ therapy ss
- Added
- January 1, 2022
- BETOS
- Z2
- Pricing indicator
- 00: Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Service not separately priced by Part B, not covered, bundled into another service, or used by Part A only.
Codes adjacent to G4026
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If G4026 is not quite right, the correct code is very often within a few positions of it.
- G4018Obstetrics/gynecology mips specialty set
- G4019Oncology/hematology mips specialty set
- G4020Ophthalmology/optometry mips specialty set
- G4021Orthopedic surgery mips specialty set
- G4022Otolaryngology mips specialty set
- G4023Pathology mips specialty set
- G4024Pediatrics mips specialty set
- G4025Physical medicine mips specialty set
- G4027Plastic surgery mips specialty set
- G4028Podiatry mips specialty set
- G4029Preventive medicine mips specialty set
- G4030Pulmonology mips specialty set
- G4031Radiation oncology mips specialty set
- G4032Rheumatology mips specialty set
- G4033Skilled nursing facility mips specialty set
- G4034Speech language pathology mips specialty set