HCPCS code G3003 — Chronic pain mgmt addl 15m.
Status: Active.
Effective Jan 1, 2023.
Source: CMS HCPCS Level II.
G3003
ActiveChronic pain mgmt addl 15m
Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2023
Code type:
alphanumeric
OPPS Status:
M
— Items / services not billable to the fiscal intermediary or MAC
MUE — Medically Unlikely Edits
Maximum units of G3003 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 | 4 |
| Practitioner Services | 4 |
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.
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New Code 2023-Q1Chronic pain mgmt addl 15m