HCPCS code G0299: RN nursing, 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 G0299 covers

G0299 identifies direct skilled nursing provided by a registered nurse in a home health or hospice setting. It describes the nursing service in 15-minute increments, not a whole visit. The code distinguishes RN services from direct nursing provided by an LPN or LVN, which is reported with G0300. Home health and hospice billing teams use the code to identify the RN discipline and the time attributable to that direct skilled service.

Medicare assigns physician fee schedule status X: the service is not a physician service under the Medicare statute, so the physician fee schedule does not pay it. The HCPCS pricing designation says it is not separately priced by Medicare Part B. Coverage is left to the Medicare contractor’s judgment; when covered, payment is under another fee schedule or payment system. Each unit represents 15 minutes of direct RN 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 G0299 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

G0299 rates by state

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

How the G0299 rate is calculated

Each of G0299’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 G0299

G0299 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.

G0299 compared with similar codes

How to choose

G0300LPN nursingPer 15 minutes

Use G0299 for direct skilled nursing care provided by an RN. G0300 identifies the corresponding service when an LPN or LVN provides it.

G0156Aide servicesPer 15 minutes

G0299 represents direct skilled nursing by an RN; G0156 represents home health aide services, not RN nursing.

G0151Home health PTQualified therapist, per 15 minutes

G0299 is for direct RN skilled nursing. G0151 identifies home health physical therapy services.

Codes related to G0299

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