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HCPCS code G0157: PT assistant services, per 15 minutes2026 Medicare rate & RVUs

Reports physical therapy services furnished by a qualified physical therapist assistant in a home health or hospice setting, in 15-minute units.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · G0157

PT assistant services, per 15 minutes

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for G0157 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What G0157 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What G0157 covers

G0157 reports services furnished by a qualified physical therapist assistant in a home health or hospice setting. The service is physical therapy delivered by the assistant, and the code distinguishes it from services furnished by a physical therapist. It also separates physical therapy assistant services from occupational therapy assistant services. Each unit represents 15 minutes of assistant services. The service setting is home health or hospice care.

CMS excludes G0157 from the physician fee schedule by regulation under status E. HCPCS pricing lists it as not separately priced by Medicare Part B. When Medicare covers the service, payment is made under another payment method. Coverage is left to the Medicare contractor’s judgment.

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 G0157 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

G0157 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

G0157 rates by state

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

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
G0157 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the G0157 rate is calculated

Each of G0157’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.

How the rate is built · G0157

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for G0157

G0157 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.

Place of service · G0157

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

G0157 isn’t priced in this setting.

G0157 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • G0157

    PT assistant services, per 15 minutes0 wRVU

    Not priced

  • G0151

    Home health PT, qualified therapist, per 15 minutes0 wRVU

    Not priced

  • G0159

    PT maintenance, per 15 minutes0 wRVU

    Not priced

  • G0158

    OT assistant, per 15 minutes0 wRVU

    Not priced

How to choose

G0151Home health PTQualified therapist, per 15 minutes
G0151 identifies services furnished by a qualified physical therapist; G0157 identifies services furnished by a qualified physical therapist assistant.
G0159PT maintenancePer 15 minutes
G0159 identifies home health or hospice physical therapy for maintenance therapy. G0157 identifies services furnished by a qualified physical therapist assistant.
G0158OT assistantPer 15 minutes
G0158 is for occupational therapy assistant services. G0157 is for physical therapy assistant services.

Codes related to G0157

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

Codes related to G0157
CodeHow it relatesNational office range
Same family
G0151Home health PT, qualified therapist, per 15 minutesPhysical therapy services furnished by a qualified physical therapist, rather than an assistant.No office rate
G0159PT maintenance, per 15 minutesHome health or hospice physical therapy services identified for maintenance therapy.No office rate
G0158OT assistant, per 15 minutesThe corresponding home health or hospice assistant service for occupational therapy.No office rate

G0157 billing questions

When should I report this instead of G0151?

Use G0157 for services furnished by a qualified physical therapist assistant. G0151 identifies services furnished by a qualified physical therapist.

How many minutes does one unit represent?

One unit represents 15 minutes of physical therapist assistant services.

Is this code separately priced under Medicare Part B?

No. CMS lists it as excluded from the physician fee schedule and not separately priced by Medicare Part B. When Medicare covers the service, payment is made under another payment method.

Who determines whether Medicare covers the service?

Coverage is left to the Medicare contractor’s judgment.

How does this differ from G0159?

G0159 identifies home health or hospice physical therapy services for maintenance therapy. G0157 identifies services furnished by a qualified physical therapist assistant.

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

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