HCPCS G0161
Status E Excluded from the PFS by regulation. Not payable under the PFS. Full definition → HCPCS Level IIHhc slp ea 15 min
No national payment amount
Status E is not separately payable under the PFS.
Excluded from the PFS by regulation. Not payable under the PFS.
Common questions
Why is there no payment amount for G0161?
Its status indicator is E (excluded). Excluded from the PFS by regulation. Not payable under the PFS. The blank is deliberate: the amount is unknown or paid another way, not zero.
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October). Each release is versioned here, so past quarters stay lookupable — see what changed each release, or get an email when a new release moves rates.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
Saw this code on your bill?
What is a G0161 visit in patient-friendly terms?
In plain terms: Hhc slp ea 15 min You'll typically see HCPCS G0161 on a bill or explanation of benefits (EOB) when a clinician performs or bills for this service.
How this amount is computed
amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000.
| Component | RVU |
|---|---|
| Work RVU | blank |
| Practice expense RVU (non-facility) | blank |
| Practice expense RVU (facility) | blank |
| Malpractice RVU | blank |
Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A value of blank means CMS publishes no national number for that part — which is not the same as zero.
Rate history by release
National non-facility amount for G0161 across quarterly releases.
Billing together (NCCI edits)
NCCI Q3 2026Per CMS's National Correct Coding Initiative. Hover a code for when it's used.
Billable with G0161 only with modifier 59, XE, XS, XP, or XU