G0037 HCPCS Level II code: On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely…
G0037 is the HCPCS code for “On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or…” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0037On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or hearing impairment and for those patients, no knowledgeable informant available
Short description: Pt not able to participate
HCPCS · United States
Medicare details
The indicators CMS publishes with G0037 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Undefined codes
- Added
- Jan 1, 2022
Where G0037 sits
- 1G codesProcedures and professional services
- 2Active code G0037On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or hearing impairment and for those patients, no knowledgeable informant available
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code G0037 mean?
G0037 is the HCPCS code for “On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed, severe visual or hearing impairment and for those patients, no knowledgeable informant available” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0037?
CMS lists G0037’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G0037
All G codesG0031Palliative care services given to patient any time during the measurement periodG0032Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the…G0033Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal…G0034Patients receiving palliative care during the measurement periodG0035Patient has any emergency department encounter during the performance period with place of service indicator 23G0036Patient or care partner decline assessmentG0038Clinician determines patient does not require referralG0039Patient not referred, reason not otherwise specifiedG0040Patient already receiving physical/occupational/speech/recreational therapy during the measurement periodG0041Patient and/or care partner decline referralG0042Referral to physical, occupational, speech, or recreational therapyG0043Patients with mechanical prosthetic heart valve