HCPCS G0153: Speech-Language Pathology in Home Health or Hospice
HCPCS Level II code G0153 describes services provided by a qualified speech‑language pathologist in the home health or hospice setting, billed in 15‑minute increments for direct speech‑language pathology treatment and therapeutic intervention delivered in the patient’s residence or hospice location.
For related coverage guidance, see recent payer policy updates: Esophagogastroduodenoscopy (EGD) Coverage Policy, Magnetic Sphincter Augmentation for the Treatment of Gastroesophageal Reflux Disease (GERD), Fecal Analysis in the Diagnosis of Intestinal Dysbiosis and Fecal Microbiota Transplant Testing.
Customize your policy alerts
Sign up for hcpcs G0153 policy alerts
Get alerted when payer policies referencing G0153 are released or updated.
Monitor payer policy activity
National Reimbursement Benchmarks
National commercial rates for HCPCS G0153 cluster around the BUCA average commercial rate of $72.50, with payers showing distinct central tendencies and extremes. Blue Cross Blue Shield centers much higher (median $97.90) and Aetna is tightly bunched around the mid-$20s (median $24.00). Cigna sits near the lower-middle range (median $59.00), while UnitedHealth Group displays a median of $0 but a high P90 of $45.50, indicating many zero-value observations alongside some positive outliers.
Rate dispersion (P75 minus P25) highlights contrasting variability: Blue Cross Blue Shield’s interquartile range is $13.50 (P75 $103.50 minus P25 $94.00), indicating moderate spread; BUCA’s IQR is $5.50 (P75 $71.10 minus P25 $65.60), the tightest among listed payers; Cigna’s IQR is $0.70 (P75 $59.70 minus P25 $59.00), also very tight; Aetna’s IQR is $0.00 (P75 $24.00 minus P25 $24.00), the least dispersed. UnitedHealth Group shows the widest effective dispersion given P25 $0.00 and P75 $0.00 (IQR $0.00) combined with a large gap between median and P90, signaling concentration at zero with some high-end variation.