HCPCS Level II code

G0540Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes

HCPCS Level IIVerified Sep 5, 2026

Medicare payment

$26.05

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.

Code definition

Code

G0540

Code system

HCPCS Level II

Full description

Caregiver training in behavior management/modification for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis, administered by physician or other qualified health care professional (without the patient present), face-to-face; each additional 15 minutes

Policy activity for HCPCS G0540

CLV Intelligence is tracking 1 policy change that cite HCPCS G0540 most recently on 2026-06-05, drawn from 1 LCD/NCD coverage update. The changes span Home Health.

LCD/NCD coverage update
1

Counts reflect the source documents CLV has matched to HCPCS G0540 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Recent policy changes matched to G0540

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

LCD L34562: Home Health Skilled Nursing Care-Teaching and Training: Alzheimer's Disease and Behavioral Disturbances — Palmetto GBA

Home Health

Government source· CMS / MACverify ↗
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Audit documentation

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