G0500 — Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)

Medicare payment

$66.47

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A

National amount before geographic adjustment. Your MAC's locality rate will differ.

Policy activity for HCPCS G0500

CLV Intelligence is tracking 1 policy change that cite HCPCS G0500 most recently on 2026-09-12, drawn from 1 LCD/NCD coverage update. The changes span Gastroenterology.

LCD/NCD coverage update

1

Counts reflect the source documents CLV has matched to HCPCS G0500 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

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