HCPCS code G0151: Home health PT, qualified therapist, per 15 minutes2026 Medicare rate & RVUs in Illinois

CMS doesn’t publish an office rate for G0151 in Illinois.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What G0151 covers

G0151 describes physical therapy provided by a qualified physical therapist in a patient’s home health or hospice care. The service may involve skilled assessment and treatment of mobility, balance, transfers, gait, or functional limitations related to illness or injury. A home health or hospice provider reports the code for the therapist’s service, rather than for therapy delivered by an assistant or another discipline.

Medicare assigns G0151 physician fee schedule status X: it is not a physician service under the Medicare statute and is not paid under the physician fee schedule. HCPCS pricing classifies it as not separately priced by Medicare Part B; when covered, payment is through another fee schedule or payment system. The code’s coverage is left to the Medicare contractor’s judgment. Each unit represents 15 minutes of service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where G0151 pays more and less in Illinois

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

How the G0151 rate is calculated

Each of G0151’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for G0151

G0151 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

G0151 compared with similar codes

How to choose

G0157PT assistant servicesPer 15 minutes

Use G0151 for services performed by a qualified physical therapist. G0157 identifies home health physical therapy services performed by a physical therapist assistant.

G0159PT maintenancePer 15 minutes

G0159 is specific to home health physical therapy services for a maintenance program; G0151 describes physical therapy in home health or hospice settings.

G0152Occupational therapyHome health or hospice, per 15 minutes

G0152 is for occupational therapy, not physical therapy. Both codes identify timed services in home health or hospice settings.

97110Therapeutic exerciseOne-on-one, each 15 minutes

CPT 97110 describes therapeutic exercise services, rather than identifying physical therapy by provider and home health or hospice setting as G0151 does.

Codes related to G0151

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates