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HCPCS G0300: LPN Skilled Nursing in Home Health and Hospice, 15 min

HCPCS Level II code G0300 represents direct skilled nursing services delivered by a licensed practical nurse (LPN) in home health and hospice settings, billed in 15-minute units. This code matters nationally as home-based skilled nursing is a core component of hospice and home health care delivery, affecting care access, resource planning, and payment policy across payers. Key payers covered in this review include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for LPN-provided skilled nursing in the home health and hospice environment, comparisons to the related registered nurse code G0299, and a summary of common billing modifiers and coding considerations relevant to payers. The publication also outlines typical associated ICD-10 diagnoses encountered with these services and linked clinical taxonomies for hospice and palliative care clinicians. Content includes benchmark considerations, payer coverage notes, and operational implications for billing and claims management. Data not available in the input is clearly noted where applicable.

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Billing Code Overview

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 skilled LPN nursing care delivered at the patient's residence, and the typical site of service is the home health or hospice setting.

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.

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HCPCS G0300: LPN Skilled Nursing in Home Health and Hospice, 15 min

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Billing Code Overview

National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

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.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when the LPN provides substantially greater physician-ordered services than typical for the same time unit; documentation must justify the increased work.
`26`	Professional component	Use only when reporting a distinct professional component by a physician; rarely appended to `G0300` but applicable when billing a separate professional service accompanies the LPN visit.
`52`	Reduced services	Use when the LPN is unable to complete the full scope of the ordered skilled task during the visit; document reason and actual time.
`53`	Discontinued procedure	Use when the planned skilled intervention is started but terminated due to patient condition or safety concerns; document circumstances.
`54`	Surgical care only	Not commonly used for `G0300`; include when the LPN provides only a portion of perioperative skilled nursing within hospice/home health context.
`55`	Postoperative management only	Rare for home hospice LPN visits; use when only post-procedural skilled nursing management is provided.
`56`	Preoperative management only	Rarely applicable; use when LPN provides pre-procedure skilled nursing care ordered by physician prior to an intervention.
`62`	Two surgeons	Not typical for LPN service billing; included when dual-provider billing circumstances require identification.
`78`	Unplanned return to the operating/procedural room by same physician following initial procedure for a related procedure during the postoperative period	Rarely applicable; document if relevant.
`AS`	Ambulatory service	Use when the skilled care is provided in an ambulatory surgical center setting; generally not applicable to home hospice but included per modifier list.
`CQ`	Service delivered under an alternative payment model (APM) - beneficiary not a Qualifying APM participant	Use when applicable to the payor arrangement; ensures correct payment pathway.
`GT`	Via interactive audio and video telecommunications system	Use if part of the visit is delivered synchronously via telehealth under payor rules alongside home visit documentation.
`QX`	Ordering/servicing physician split/shared service - non-physician practitioner performed service	Use when billing policies require designation of split/shared services between LPN oversight and supervising clinician.
`SQ`	Service furnished under a federally funded health care program waiver	Use when the hospice/home health services are provided under a waiver program requiring explicit modifier.

Taxonomy Code	Specialty	Notes
`207RH0002X`	Hospice and Palliative Medicine Physician	Physician oversight for hospice plan of care and medical direction; documents orders for skilled LPN interventions.
`163WH0200X`	Hospice and Palliative Licensed Practical Nurse	Primary provider taxonomy for billing `G0300` when LPNs deliver skilled nursing services in hospice/home health settings.
`163WH0200X`	Hospice and Palliative Registered Nurse	RN provides supervisory, assessment, and complex skilled services; documents collaboration and may bill `G0299` when RN time is reported.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`M62.84`	Disuse atrophy, not elsewhere classified	Deconditioning and muscle loss increase need for skilled mobility assessment, skin care, and prevention interventions delivered by LPNs.
`F03.90`	Unspecified dementia without behavioral disturbance	Cognitive impairment affects ability to participate in care and increases need for skilled observation, medication administration, and caregiver instruction.
`G31.01`	Pick's disease	A neurodegenerative disorder with behavioral and functional decline requiring skilled nursing monitoring and supportive interventions.
`G31.1`	Senile degeneration of brain, not elsewhere classified	Advanced neurodegeneration commonly encountered in hospice patients necessitating skilled nursing for comfort and safety.
`G31.85`	Alzheimer disease	Progressive cognitive decline leading to complex care needs addressed during skilled LPN visits, including symptom management and education.
`F32.89`	Other specified depressive episodes	Mood disorders may complicate hospice care; LPNs monitor symptoms, medication adherence, and report changes to the care team.
`F42.2`	Other mixed obsessive-compulsive disorders	Behavioral symptoms can affect care plan adherence and safety; LPN documents behaviors and implements behavioral management measures per plan.
`F42.4`	Obsessive-compulsive disorder, mixed obsessional thoughts and acts	Relevant when obsessive-compulsive behaviors impact hygiene, wound care, or medication administration during home visits.
`F42.8`	Other obsessive-compulsive disorders	Same clinical context as other OCD codes; LPN documents impact on care delivery.
`F42.9`	Obsessive-compulsive disorder, unspecified	Used when OCD is present but unspecified; relevant to visit complexity and caregiver instructions.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`G0299`	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	RN counterpart to `G0300`; used when RN provides skilled time instead of or in addition to LPN care, and for tasks requiring RN level of skill.

HCPCS G9490: Home Visit Assessment for Non-Homebound Patients

HCPCS-G0008-INFLUENZA-VACCINE-ADMINISTRATION

HCPCS G0008: Influenza Virus Vaccine Administration

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 Pre-Exposure Prophylaxis (PrEP) for HIV Prevention

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

HCPCS G0013: Individual PrEP Counseling and HIV Risk Assessment

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 for Social Determinants of Health

Showing 1–10 of 1996

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

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

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when the LPN provides substantially greater physician-ordered services than typical for the same time unit; documentation must justify the increased work.
`26`	Professional component	Use only when reporting a distinct professional component by a physician; rarely appended to `G0300` but applicable when billing a separate professional service accompanies the LPN visit.
`52`	Reduced services	Use when the LPN is unable to complete the full scope of the ordered skilled task during the visit; document reason and actual time.
`53`	Discontinued procedure	Use when the planned skilled intervention is started but terminated due to patient condition or safety concerns; document circumstances.
`54`	Surgical care only	Not commonly used for `G0300`; include when the LPN provides only a portion of perioperative skilled nursing within hospice/home health context.
`55`	Postoperative management only	Rare for home hospice LPN visits; use when only post-procedural skilled nursing management is provided.
`56`	Preoperative management only	Rarely applicable; use when LPN provides pre-procedure skilled nursing care ordered by physician prior to an intervention.
`62`	Two surgeons	Not typical for LPN service billing; included when dual-provider billing circumstances require identification.
`78`	Unplanned return to the operating/procedural room by same physician following initial procedure for a related procedure during the postoperative period	Rarely applicable; document if relevant.
`AS`	Ambulatory service	Use when the skilled care is provided in an ambulatory surgical center setting; generally not applicable to home hospice but included per modifier list.
`CQ`	Service delivered under an alternative payment model (APM) - beneficiary not a Qualifying APM participant	Use when applicable to the payor arrangement; ensures correct payment pathway.
`GT`	Via interactive audio and video telecommunications system	Use if part of the visit is delivered synchronously via telehealth under payor rules alongside home visit documentation.
`QX`	Ordering/servicing physician split/shared service - non-physician practitioner performed service	Use when billing policies require designation of split/shared services between LPN oversight and supervising clinician.
`SQ`	Service furnished under a federally funded health care program waiver	Use when the hospice/home health services are provided under a waiver program requiring explicit modifier.

Taxonomy Code	Specialty	Notes
`207RH0002X`	Hospice and Palliative Medicine Physician	Physician oversight for hospice plan of care and medical direction; documents orders for skilled LPN interventions.
`163WH0200X`	Hospice and Palliative Licensed Practical Nurse	Primary provider taxonomy for billing `G0300` when LPNs deliver skilled nursing services in hospice/home health settings.
`163WH0200X`	Hospice and Palliative Registered Nurse	RN provides supervisory, assessment, and complex skilled services; documents collaboration and may bill `G0299` when RN time is reported.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`M62.84`	Disuse atrophy, not elsewhere classified	Deconditioning and muscle loss increase need for skilled mobility assessment, skin care, and prevention interventions delivered by LPNs.
`F03.90`	Unspecified dementia without behavioral disturbance	Cognitive impairment affects ability to participate in care and increases need for skilled observation, medication administration, and caregiver instruction.
`G31.01`	Pick's disease	A neurodegenerative disorder with behavioral and functional decline requiring skilled nursing monitoring and supportive interventions.
`G31.1`	Senile degeneration of brain, not elsewhere classified	Advanced neurodegeneration commonly encountered in hospice patients necessitating skilled nursing for comfort and safety.
`G31.85`	Alzheimer disease	Progressive cognitive decline leading to complex care needs addressed during skilled LPN visits, including symptom management and education.
`F32.89`	Other specified depressive episodes	Mood disorders may complicate hospice care; LPNs monitor symptoms, medication adherence, and report changes to the care team.
`F42.2`	Other mixed obsessive-compulsive disorders	Behavioral symptoms can affect care plan adherence and safety; LPN documents behaviors and implements behavioral management measures per plan.
`F42.4`	Obsessive-compulsive disorder, mixed obsessional thoughts and acts	Relevant when obsessive-compulsive behaviors impact hygiene, wound care, or medication administration during home visits.
`F42.8`	Other obsessive-compulsive disorders	Same clinical context as other OCD codes; LPN documents impact on care delivery.
`F42.9`	Obsessive-compulsive disorder, unspecified	Used when OCD is present but unspecified; relevant to visit complexity and caregiver instructions.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`G0299`	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	RN counterpart to `G0300`; used when RN provides skilled time instead of or in addition to LPN care, and for tasks requiring RN level of skill.

HCPCS G9490: Home Visit Assessment for Non-Homebound Patients

HCPCS-G0008-INFLUENZA-VACCINE-ADMINISTRATION

HCPCS G0008: Influenza Virus Vaccine Administration

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 Pre-Exposure Prophylaxis (PrEP) for HIV Prevention

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

HCPCS G0013: Individual PrEP Counseling and HIV Risk Assessment

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 for Social Determinants of Health

Showing 1–10 of 1996

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

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

OpenPayer

HCPCS G0300: LPN Skilled Nursing in Home Health and Hospice, 15 min

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Billing Code Overview

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HCPCS G0300: LPN Skilled Nursing in Home Health and Hospice, 15 min

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Billing Code Overview

National Reimbursement Benchmarks

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References