G0159 HCPCS Level II code: Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy…
G0159 is the HCPCS code for “Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0159Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes
Short description: Hhc pt maint ea 15 min
HCPCS · United States
Medicare details
The indicators CMS publishes with G0159 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
- Other - Non-Medicare fee schedule
- Added
- Jan 1, 2011
Where G0159 sits
- 1G codesProcedures and professional services
- 2Active code G0159Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes
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 G0159 mean?
G0159 is the HCPCS code for “Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0159?
CMS lists G0159’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 G0159
All G codesG0153Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutesG0154Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutesG0155Services of clinical social worker in home health or hospice settings, each 15 minutesG0156Services of home health/hospice aide in home health or hospice settings, each 15 minutesG0157Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutesG0158Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutesG0160Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance…G0161Services performed by a qualified speech-language pathologist, in the home health setting, in the establishment or delivery of a safe and effective speech-language pathology…G0162Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn…G0163Skilled services of a licensed nurse (lpn or rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires…G0164Skilled services of a licensed nurse (lpn or rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutesG0166External counterpulsation, per treatment session