G0040 HCPCS Level II code: Patient already receiving physical/occupational/speech/recreational therapy during the measurement period
G0040 is the HCPCS code for “Patient already receiving physical/occupational/speech/recreational therapy during the measurement period” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0040Patient already receiving physical/occupational/speech/recreational therapy during the measurement period
Short description: Pt phys/occ therapy
HCPCS · United States
Medicare details
The indicators CMS publishes with G0040 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 G0040 sits
- 1G codesProcedures and professional services
- 2Active code G0040Patient already receiving physical/occupational/speech/recreational therapy during the measurement period
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 G0040 mean?
G0040 is the HCPCS code for “Patient already receiving physical/occupational/speech/recreational therapy during the measurement period” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0040?
CMS lists G0040’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 G0040
All G codesG0034Patients 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 assessmentG0037On date of encounter, patient is not able to participate in assessment or screening, including non-verbal patients, delirious, severely aphasic, severely developmentally delayed…G0038Clinician determines patient does not require referralG0039Patient not referred, reason not otherwise specifiedG0041Patient and/or care partner decline referralG0042Referral to physical, occupational, speech, or recreational therapyG0043Patients with mechanical prosthetic heart valveG0044Patients with moderate or severe mitral stenosisG0045Clinical follow-up and mrs score assessed at 90 days following endovascular stroke interventionG0046Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention