HCPCS G0299: Direct Skilled Nursing by RN in Home Health/Hospice

Commercial payers pay $67 on average nationally for this procedure.

HCPCS Level II code G0299 describes direct skilled nursing services provided by a registered nurse (RN) in the home health or hospice setting, billed in 15-minute increments for hands-on skilled care, observation, and clinical interventions delivered at the patient’s residence or during hospice home visits.

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National Reimbursement Benchmarks

National commercial rates for G0299 cluster around BUCA’s average commercial benchmark of $66.9, but substantial payer-level differences are evident. Blue Cross Blue Shield (BCBS) and Cigna sit above BUCA’s average, with Cigna showing a very high centralized rate at $145.3. Aetna and UnitedHealth Group are below BUCA; Aetna’s median of $26 contrasts sharply with BCBS and Cigna. These contrasts create a bimodal landscape: one group near the lower-mid twenties to mid-forties and another at materially higher levels above $60 to $145.

Rate dispersion (P75 minus P25) highlights variation in contract tightness. Aetna’s P75–P25 is $17.0 ($26.0–$9.0), and UnitedHealth Group’s spread is $22.8 ($55.3–$32.5), indicating relatively tighter distributions. Blue Cross Blue Shield displays the widest interquartile spread at $12.0 ($66.8–$52.8) relative to its scale, while Cigna shows effectively no dispersion (P75–P25 = $0.0), signaling highly uniform contracted rates.

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HCPCS G0299: Direct Skilled Nursing by RN in Home Health/Hospice

Commercial payers pay $67 on average nationally for this procedure.

Customize your policy alerts

Sign up for hcpcs G0299 policy alerts

Get alerted when payer policies referencing G0299 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

A homebound 78-year-old patient with a history of heart failure (I50.9), chronic obstructive pulmonary disease (J44.9), and type 2 diabetes mellitus (E11.9) is discharged from the hospital after an exacerbation of heart failure and remains bed-confined (Z74.01). The patient receives a hospice/home health referral for skilled nursing visits to monitor cardiopulmonary status, titrate diuretics and inhaled bronchodilator regimens, perform wound checks and focused assessments during aftercare visits (Z48.89), and provide brief caregiver education. A registered nurse (RN) conducts visits in the patient’s home or hospice residence, delivering direct skilled nursing services in 15-minute increments billed under G0299. Typical workflow: pre-visit review of the plan of care and recent hospital records; travel to the home; direct skilled assessment (vitals, lung and edema assessment), medication administration and adjustment per orders, dressing changes or wound assessment if present, documentation in the home health record, communication with the primary care or hospice physician for changes, and updating the plan of care. Encounters are segmented and timed so each 15-minute unit of direct RN skilled care is documented and billed as G0299 when medically necessary and skilled.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`G0300`	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	LPN counterpart to `G0299`; used when tasks can be delegated to an LPN and billed separately for LPN-skilled time.
`G0162`	Skilled services by a licensed nurse (RN only) for management and evaluation of the plan of care, each 15 minutes	Used for RN management and evaluation time dedicated to plan-of-care oversight; complements direct care billed with `G0299`.
`G0493`	Skilled services of a registered nurse (RN) for the observation and assessment of the patient’s condition, each 15 minutes	Overlaps with `G0299` for observation/assessment-focused skilled visits; select per payer guidance to avoid duplicate billing.
`G0494`	Skilled services of a licensed practical nurse (LPN) for the observation and assessment of the patient’s condition, each 15 minutes	LPN observation/assessment equivalent; used when an LPN performs the assessment duties in the home.
`G0495`	Skilled services of a registered nurse (RN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	Use when the RN provides formal training/education to patient/family; may be billed in addition to or instead of `G0299` depending on payer rules and distinct documentation.
`G0496`	Skilled services of a licensed practical nurse (LPN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	Use when LPN provides documented patient/family education and billing rules permit LPN education charges alongside or instead of RN services.

Related Modifiers

8 rows

Modifier	Description	When to Use
25	CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…	- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…
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…
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…
95	Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…	- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
163WH0200X	Home Health Registered Nurse	Nursing Service Providers · Registered Nurse
163W00000X	Registered Nurse	(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive…
251E00000X	Home Health Agency	A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing se…
246RP1900X	Phlebotomy Technician	Technologists, Technicians & Other Technical Service Providers · Technician, Pathology
261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
133VN1201X	Obesity and Weight Management Nutrition Registered Dietitian	An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to …
207WX0110X	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management…
207LP3000X	Pediatric Anesthesiology Physician	An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs…

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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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`G0300`	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	LPN counterpart to `G0299`; used when tasks can be delegated to an LPN and billed separately for LPN-skilled time.
`G0162`	Skilled services by a licensed nurse (RN only) for management and evaluation of the plan of care, each 15 minutes	Used for RN management and evaluation time dedicated to plan-of-care oversight; complements direct care billed with `G0299`.
`G0493`	Skilled services of a registered nurse (RN) for the observation and assessment of the patient’s condition, each 15 minutes	Overlaps with `G0299` for observation/assessment-focused skilled visits; select per payer guidance to avoid duplicate billing.
`G0494`	Skilled services of a licensed practical nurse (LPN) for the observation and assessment of the patient’s condition, each 15 minutes	LPN observation/assessment equivalent; used when an LPN performs the assessment duties in the home.
`G0495`	Skilled services of a registered nurse (RN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	Use when the RN provides formal training/education to patient/family; may be billed in addition to or instead of `G0299` depending on payer rules and distinct documentation.
`G0496`	Skilled services of a licensed practical nurse (LPN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes	Use when LPN provides documented patient/family education and billing rules permit LPN education charges alongside or instead of RN services.

Related Modifiers

8 rows

Modifier	Description	When to Use
25	CPT modifier 25 indicates that on the same day as another procedure or service, the same physician or other qualified health care professional provided a significant, separately identifiable…	- When to apply: Use modifier 25 only on an E/M code to indicate the same provider delivered a significant, separately identifiable E/M service on the same day as another procedure or service — i.e.,…
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…
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…
95	Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…	- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
163WH0200X	Home Health Registered Nurse	Nursing Service Providers · Registered Nurse
163W00000X	Registered Nurse	(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive…
251E00000X	Home Health Agency	A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing se…
246RP1900X	Phlebotomy Technician	Technologists, Technicians & Other Technical Service Providers · Technician, Pathology
261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
133VN1201X	Obesity and Weight Management Nutrition Registered Dietitian	An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to …
207WX0110X	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management…
207LP3000X	Pediatric Anesthesiology Physician	An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs…

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

OpenPayer

HCPCS G0299: Direct Skilled Nursing by RN in Home Health/Hospice

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National Reimbursement Benchmarks

OpenPayer

HCPCS G0299: Direct Skilled Nursing by RN in Home Health/Hospice

Sign up for hcpcs G0299 policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

HCPCS G0299: Direct Skilled Nursing by RN in Home Health/Hospice

Sign up for hcpcs G0299 policy alerts

National Reimbursement Benchmarks

HCPCS G0299: Direct Skilled Nursing by RN in Home Health/Hospice

Sign up for hcpcs G0299 policy alerts

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What is the clinical context for using HCPCS code `G0299` for direct skilled nursing services by a registered nurse (RN) in the home health or hospice setting?

What is the relationship between HCPCS code `G0299` and related CPT codes for skilled nursing services?

Which ICD-10 codes are clinically relevant for HCPCS code `G0299`?

What payers cover HCPCS code `G0299` for direct skilled nursing services by a registered nurse in the home health or hospice setting?

How is HCPCS code `G0299` billed for direct skilled nursing services by a registered nurse in the home health or hospice setting?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What is the clinical context for using HCPCS code `G0299` for direct skilled nursing services by a registered nurse (RN) in the home health or hospice setting?

What is the relationship between HCPCS code `G0299` and related CPT codes for skilled nursing services?

Which ICD-10 codes are clinically relevant for HCPCS code `G0299`?

What payers cover HCPCS code `G0299` for direct skilled nursing services by a registered nurse in the home health or hospice setting?

How is HCPCS code `G0299` billed for direct skilled nursing services by a registered nurse in the home health or hospice setting?

References