HCPCS code G0543 — Group train w/o patient.
Status: Active.
Effective Jan 1, 2025.
Source: CMS HCPCS Level II.
G0543
ActiveGroup train w/o patient
Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2025
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5731
MUE — Medically Unlikely Edits
Maximum units of G0543 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 | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
-
New Code 2025-Q1Group train w/o patient