G0155 — Services of clinical social worker in home health or hospice settings, each 15 minutes
G0155 is a HCPCS Level II code for services of clinical social worker in home health or hospice settings, each 15 minutes. 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 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
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 G0155
- Long descriptor
- Services of clinical social worker in home health or hospice settings, each 15 minutes
- Short descriptor
- Hhcp-svs of csw,ea 15 min
- Added
- July 1, 1999
- BETOS
- Y2
- 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 G0155
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G0155 is not quite right, the correct code is very often within a few positions of it.
- G0145Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision
- G0146Principal illness navigation - peer support, additional 30 minutes per calendar month (list separately in addition to g0140)
- G0147Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision
- G0148Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening
- G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes
- G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes
- G0153Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes
- G0154Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutesterminated
- G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes
- G0157Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes
- G0158Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes
- G0159Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes
- G0160Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes
- G0161Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology maintenance program, each 15 minutes
- G0162Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting)
- G0163Skilled services of a licensed nurse (lpn or rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting)terminated
Questions about G0155
What is HCPCS code G0155?
G0155 is a HCPCS Level II code for services of clinical social worker in home health or hospice settings, each 15 minutes. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G0155?
The CMS HCPCS file marks G0155 as "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.
How is G0155 paid under the physician fee schedule?
G0155 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.