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HCPCS G0410

HCPCS Level II

Grp psych php/iop 45-50

No national payment amount

Status X is not separately payable under the PFS.

Statutory exclusion. The service is not in the statutory definition of physician services.

Common questions

Why is there no payment amount for G0410?

Its status indicator is X (statutory exclusion). Statutory exclusion. The service is not in the statutory definition of physician services. 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 G0410 visit in patient-friendly terms?

In plain terms: Grp psych php/iop 45-50 You'll typically see HCPCS G0410 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.

Release Q3 2026

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 G0410 across quarterly releases.

$1 $1 $0 $-1 $-1 Q1 2025 · $0.00 Q2 2025 · $0.00 Q3 2025 · $0.00 Q4 2025 · $0.00 Q1 2026 · $0.00 Q2 2026 · $0.00 Q3 2026 · $0.00 Q1 2025 Q2 2025 Q3 2025 Q1 2026 Q2 2026 Q3 2026
Non-facility Facility
Release Status Non-facility Facility
Q3 2026 Jun 30, 2026 X $0.00 $0.00
Q2 2026 Mar 10, 2026 X $0.00 $0.00
Q1 2026 Dec 29, 2025 X $0.00 $0.00

Billing together (NCCI edits)

NCCI Q3 2026

Per CMS's National Correct Coding Initiative. Hover a code for when it's used.

Never billable with G0410 on the same date of service

36591 36592 90880 96127 - Brief Emotional/Behavioral Screening, Per Instrument 96156 96158 96159 96164 96165 96167 96168 96523 97802 97803 97804 G0270 G0271 G0459

Billable with G0410 only with modifier 59, XE, XS, XP, or XU

0889T 0890T 0891T 0892T 36640 90791 - Psychiatric Diagnostic Evaluation 90792 90832 - Individual Psychotherapy, 30 Minutes 90833 90834 - Psychotherapy, 45 Minutes 90836 90837 - Psychotherapy, 60 Minutes 90838 90839 90845 90846 90847 90849 90853 - Group Psychotherapy 90865 90867 90868 90869 90870 90901 +68 more

Source & method

Computed from the CMS Medicare Physician Fee Schedule Q3 2026 release (schedule pfs, effective July 2026). National amounts apply a GPCI of 1.000 and exclude sequestration. Payability follows the status indicator, not RVU values — blank RVUs are never treated as zero. Releases are immutable; a rate retrieved for a past quarter always reflects that release. Code descriptions for HCPCS Level II are CMS-owned.

Physician relative value file (Q3 2026) · rvu26c-updated-06-30-2026.zip (PPRRVU2026_Jul_nonQPP.csv row 15,170)

Conversion factor $33.4009 read from the same file, row 11, column 26.

Use the (i) buttons next to each amount above for the exact row, columns, and math.