HCPCS code G0152: Occupational therapy, home health or hospice, per 15 minutes2026 Medicare rate & RVUs

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

What G0152 covers

A qualified occupational therapist reports this service for therapy provided in a patient’s home health or hospice setting. Treatment may address daily activities, functional movement, use of adaptive equipment, and safety in the home. The code identifies the therapist’s service, rather than therapy delivered by an occupational therapy assistant or a different therapy discipline.

Each unit represents 15 minutes of occupational therapy. Medicare assigns this code physician fee schedule status X, so the physician fee schedule does not pay it. It is not separately priced by Medicare Part B; when covered, payment is under another fee schedule or payment system. Medicare coverage is left to the contractor’s judgment, so the code’s status alone does not establish coverage for a particular 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 G0152 pays more and less

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

109 of 109 payment localities

G0152 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the G0152 rate is calculated

Each of G0152’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 G0152

G0152 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.

G0152 compared with similar codes

How to choose

G0158OT assistantPer 15 minutes

G0152 is for a qualified occupational therapist. G0158 identifies services furnished by an occupational therapy assistant in home health.

G0160Home health OTMaintenance, per 15 minutes

G0152 identifies occupational therapy in a home health or hospice setting; G0160 identifies home health occupational therapy for a maintenance program.

G0151Home health PTQualified therapist, per 15 minutes

Both are home health or hospice therapy codes reported in 15-minute units, but G0151 is for physical therapy rather than occupational therapy.

Codes related to G0152

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