HCPCS G0300: Skilled LPN Services in Home Health or Hospice

Commercial payers pay $27 on average nationally for this procedure.

HCPCS Level II code G0300 describes direct skilled nursing services provided by a licensed practical nurse (LPN) in the home health or hospice setting, billed in 15-minute increments; the service type is direct skilled nursing and the typical site of service is home health or hospice care for patients requiring hands-on skilled LPN interventions.

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National Reimbursement Benchmarks

Commercial national benchmark rates for HCPCS G0300 concentrate around BUCA’s average commercial rate of $27.00, with notable dispersion among individual payers. Blue Cross Blue Shield shows the widest spread: P75 minus P25 equals $13.20 ($13.80 - $4.80), reflecting substantial variability in reimbursement; Cigna and UnitedHealth Group each present a much tighter interquartile range of $0.00 and $20.00 respectively (Cigna P75–P25 = $0.00; UnitedHealth Group P75–P25 = $20.00). Aetna’s interquartile range is $13.00 ($22.00 - $9.00), indicating moderate dispersion.

Median and mean positions vary across payers, with Cigna’s central tendency equal across quartiles at $20.90 and a relatively high mean of $44.90, while UnitedHealth Group’s median is $45.50 with a mean of $42.20, showing skewness toward higher values. Blue Cross Blue Shield’s median of $9.50 sits well below its $97.70 maximum, signaling outlier-driven upper-end payments. These contrasts highlight where commercial reimbursement is concentrated versus where upper-tail variability creates broader market spread.

National Payer Mean Reimbursement Rates

State Reimbursement Rates

State: Alaska1 / 51

Rate by payer

Clinical & Coding Specifications

Clinical Context

An 82-year-old homebound hospice patient with advanced Alzheimer disease (G31.85) and progressive disuse atrophy (M62.84) receives skilled practical nursing visits for wound care, medication administration, and intermittent skilled assessment. The licensed practical nurse (LPN) arrives at the patient’s residence, performs a focused skilled task such as dressing change for a partially healed pressure ulcer, administers subcutaneous hydration per plan of care, evaluates the patient’s skin integrity and mobility, and documents findings. Each 15-minute increment of direct skilled nursing time provided by the LPN is reported using G0300. The clinical workflow includes referral from the hospice interdisciplinary team, verification of the physician-ordered skilled nursing tasks, provision of skilled interventions, timely documentation of start and stop times and clinical rationale, and coordination with the registered nurse (RN) or hospice physician if changes in condition occur. Common comorbid behavioral or cognitive diagnoses such as unspecified dementia (F03.90), depressive episodes (F32.89), and obsessive-compulsive spectrum disorders (F42.*) may affect visit complexity and require additional skilled observation and caregiver education documented in the record.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure

Related Modifiers

9 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
54	Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…	- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
55	Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…	- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illne…
163WH0200X	Home Health Registered Nurse	Nursing Service Providers · Registered Nurse
103TR0400X	Rehabilitation Psychologist	A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illn…
2278P1006X	Pulmonary Function Technologist Certified Respiratory Therapist	An individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Tec…
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
247000000X	Health Information Technician	Preferred term for an Accredited Record Technician who is an individual with an associate's degree from an accredited college or independent study pro…
173C00000X	Reflexologist	Reflexologists perform a non-invasive complementary modality involving thumb and finger techniques to apply alternating pressure to the reflexes withi…
207ZP0104X	Chemical Pathology Physician	A chemical pathologist has expertise in the biochemistry of the human body as it applies to the understanding of the cause and progress of disease. Th…

Related ICD-10-CM Codes

10 rows

ICD-10-CM Code	Description
F03.90	Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F32.89	Other specified depressive episodes
F42.2	Mixed obsessional thoughts and acts
F42.4	Excoriation (skin-picking) disorder
F42.8	Other obsessive-compulsive disorder
F42.9	Obsessive-compulsive disorder, unspecified
G31.01	Pick's disease
G31.1	Senile degeneration of brain, not elsewhere classified
G31.85	Corticobasal degeneration
M62.84	Sarcopenia

Related Payer Policy Updates

Specialty: Gastroenterology1 / 3

10 rows

Policy	Payer	Effective Date
Esophagogastroduodenoscopy (EGD) Coverage Policy	evicore	2026-11-05
Magnetic Sphincter Augmentation for the Treatment of Gastroesophageal Reflux Disease (GERD)	univerahealthcare	2026-10-15
Serum Testing for Hepatic Fibrosis in the Evaluation and Monitoring of Chronic Liver Disease	Oscar Health	2026-10-01
Fecal Analysis in the Diagnosis of Intestinal Dysbiosis and Fecal Microbiota Transplant Testing	Oscar Health	2026-10-01
Pancreatic Enzyme Testing for Acute Pancreatitis	Oscar Health	2026-10-01
Helicobacter pylori Testing	Oscar Health	2026-10-01
Celiac Disease Testing	Oscar Health	2026-10-01
Laboratory Testing for the Diagnosis of Inflammatory Bowel Disease	Oscar Health	2026-10-01
Percutaneous Electrical Nerve Field Stimulation (PENFS)	Cigna	2026-09-15
Colorectal Cancer Screening	Blue Cross Blue Shield - New Mexico	2026-09-04

HCPCS G9490: Home Visit Patient Assessment for Non-Homebound Beneficiary

HCPCS-G0008-INFLUENZA-VACCINE-ADMINISTRATION

HCPCS G0008: Administration of Influenza Virus Vaccine

HCPCS-G0009-PNEUMOCOCCAL-VACCINE-ADMINISTRATION

HCPCS G0009: Administration of Pneumococcal Vaccine

HCPCS-G0010-HEPATITIS-B-VACCINE-ADMINISTRATION

HCPCS G0010: Administration of Hepatitis B Vaccine

HCPCS-G0011-PREP-COUNSELING-HIV-RISK-REDUCTION-ADHERENCE

HCPCS G0011: Individual PrEP Counseling, HIV Risk Assessment

HCPCS-G0012-PRE-EXPOSURE-PROPHYLAXIS-INJECTION-HIV-PREVENTION

HCPCS G0012: Injection of PrEP Drug for HIV Prevention

HCPCS-G0013-PREP-INDIVIDUAL-COUNSELING-HIV-RISK-REDUCTION

HCPCS G0013: Individual PrEP Counseling by Clinical Staff

HCPCS-G0017-PSYCHOTHERAPY-CRISIS-FIRST-60-MINUTES-NON-OFFICE

HCPCS G0017: Psychotherapy for Crisis, First 60 Minutes

HCPCS-G0018-PSYCHOTHERAPY-CRISIS-ADDITIONAL-30-MINUTES-NON-OFFICE

HCPCS G0018: Psychotherapy for Crisis, Additional 30 Minutes

HCPCS-G0019-COMMUNITY-HEALTH-INTEGRATION-SDOH-CARE-COORDINATION

HCPCS G0019: Community Health Integration, Person-Centered Assessment

Showing 1–10 of 1996

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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State Reimbursement Rates

State: Alaska1 / 51

Rate by payer

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure

Related Modifiers

9 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
54	Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…	- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
55	Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…	- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illne…
163WH0200X	Home Health Registered Nurse	Nursing Service Providers · Registered Nurse
103TR0400X	Rehabilitation Psychologist	A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illn…
2278P1006X	Pulmonary Function Technologist Certified Respiratory Therapist	An individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Tec…
2084P0800X	Psychiatry Physician	A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, …
247000000X	Health Information Technician	Preferred term for an Accredited Record Technician who is an individual with an associate's degree from an accredited college or independent study pro…
173C00000X	Reflexologist	Reflexologists perform a non-invasive complementary modality involving thumb and finger techniques to apply alternating pressure to the reflexes withi…
207ZP0104X	Chemical Pathology Physician	A chemical pathologist has expertise in the biochemistry of the human body as it applies to the understanding of the cause and progress of disease. Th…

Related ICD-10-CM Codes

10 rows

ICD-10-CM Code	Description
F03.90	Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
F32.89	Other specified depressive episodes
F42.2	Mixed obsessional thoughts and acts
F42.4	Excoriation (skin-picking) disorder
F42.8	Other obsessive-compulsive disorder
F42.9	Obsessive-compulsive disorder, unspecified
G31.01	Pick's disease
G31.1	Senile degeneration of brain, not elsewhere classified
G31.85	Corticobasal degeneration
M62.84	Sarcopenia

Related Payer Policy Updates

Specialty: Gastroenterology1 / 3

10 rows

Policy	Payer	Effective Date
Esophagogastroduodenoscopy (EGD) Coverage Policy	evicore	2026-11-05
Magnetic Sphincter Augmentation for the Treatment of Gastroesophageal Reflux Disease (GERD)	univerahealthcare	2026-10-15
Serum Testing for Hepatic Fibrosis in the Evaluation and Monitoring of Chronic Liver Disease	Oscar Health	2026-10-01
Fecal Analysis in the Diagnosis of Intestinal Dysbiosis and Fecal Microbiota Transplant Testing	Oscar Health	2026-10-01
Pancreatic Enzyme Testing for Acute Pancreatitis	Oscar Health	2026-10-01
Helicobacter pylori Testing	Oscar Health	2026-10-01
Celiac Disease Testing	Oscar Health	2026-10-01
Laboratory Testing for the Diagnosis of Inflammatory Bowel Disease	Oscar Health	2026-10-01
Percutaneous Electrical Nerve Field Stimulation (PENFS)	Cigna	2026-09-15
Colorectal Cancer Screening	Blue Cross Blue Shield - New Mexico	2026-09-04

HCPCS G9490: Home Visit Patient Assessment for Non-Homebound Beneficiary

HCPCS-G0008-INFLUENZA-VACCINE-ADMINISTRATION

HCPCS G0008: Administration of Influenza Virus Vaccine

HCPCS-G0009-PNEUMOCOCCAL-VACCINE-ADMINISTRATION

HCPCS G0009: Administration of Pneumococcal Vaccine

HCPCS-G0010-HEPATITIS-B-VACCINE-ADMINISTRATION

HCPCS G0010: Administration of Hepatitis B Vaccine

HCPCS-G0011-PREP-COUNSELING-HIV-RISK-REDUCTION-ADHERENCE

HCPCS G0011: Individual PrEP Counseling, HIV Risk Assessment

HCPCS-G0012-PRE-EXPOSURE-PROPHYLAXIS-INJECTION-HIV-PREVENTION

HCPCS G0012: Injection of PrEP Drug for HIV Prevention

HCPCS-G0013-PREP-INDIVIDUAL-COUNSELING-HIV-RISK-REDUCTION

HCPCS G0013: Individual PrEP Counseling by Clinical Staff

HCPCS-G0017-PSYCHOTHERAPY-CRISIS-FIRST-60-MINUTES-NON-OFFICE

HCPCS G0017: Psychotherapy for Crisis, First 60 Minutes

HCPCS-G0018-PSYCHOTHERAPY-CRISIS-ADDITIONAL-30-MINUTES-NON-OFFICE

HCPCS G0018: Psychotherapy for Crisis, Additional 30 Minutes

HCPCS-G0019-COMMUNITY-HEALTH-INTEGRATION-SDOH-CARE-COORDINATION

HCPCS G0019: Community Health Integration, Person-Centered Assessment

Showing 1–10 of 1996

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

HCPCS G0300: Skilled LPN Services in Home Health or Hospice

Sign up for hcpcs G0300 policy alerts

National Reimbursement Benchmarks

HCPCS G0300: Skilled LPN Services in Home Health or Hospice

Sign up for hcpcs G0300 policy alerts

National Reimbursement Benchmarks

State Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

State Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

HCPCS G0300: Skilled LPN Services in Home Health or Hospice

Sign up for hcpcs G0300 policy alerts

National Reimbursement Benchmarks

HCPCS G0300: Skilled LPN Services in Home Health or Hospice

Sign up for hcpcs G0300 policy alerts

National Reimbursement Benchmarks

State Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What is the clinical context for using HCPCS code `G0300` for skilled LPN services in home health or hospice?

What is the relationship between HCPCS code `G0300` and related CPT codes for RN services?

Which ICD-10 codes are clinically relevant for HCPCS code `G0300`?

What payers cover HCPCS code `G0300` for skilled LPN services in home health or hospice?

What is the typical site of service for HCPCS code `G0300`?

References

State Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What is the clinical context for using HCPCS code `G0300` for skilled LPN services in home health or hospice?

What is the relationship between HCPCS code `G0300` and related CPT codes for RN services?

Which ICD-10 codes are clinically relevant for HCPCS code `G0300`?

What payers cover HCPCS code `G0300` for skilled LPN services in home health or hospice?

What is the typical site of service for HCPCS code `G0300`?

References