HCPCS code G0177 — Opps/php/iop; train & educ.
Status: Active.
Effective Jan 1, 2024.
Source: CMS HCPCS Level II.
G0177
ActiveOpps/php/iop; train & educ
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2024
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of G0177 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 5 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
G0177 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0409 | Modifier may bypass edit |
| G0410 | Modifier may bypass edit |
| G0411 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.