| Procedure Code | Procedure Description | Pricing Indicator | Rate Type | Mod1 | Mod2 | Mod3 | Mod4 | Max Fee | Max Fee Eff. Date | Max Fee End Date | PA |
| G0151 | HHCP-SERV OF PT;EA 15 MIN | HHPDN | DEF | NA | NA | NA | S N | ||||
| G0152 | HHCP-SERV OF OT;EA 15 MIN | HHPDN | DEF | NA | NA | NA | S N | ||||
| G0153 | HHCP-SVS OF S/L PATH;EA 15MN | HHPDN | DEF | NA | NA | NA | S N | ||||
| G0154 | HHCP-SVS OF RN;EA 15 MIN | HHPDN | ALB | NA | NA | NA | S N | ||||
| G0154 | HHCP-SVS OF RN;EA 15 MIN | HHPDN | ARB | NA | NA | NA | S N | ||||
| G0156 | HHCP-SVS OF AIDE;EA 15 MIN | HHPDN | DEF | NA | NA | NA | S N | ||||
| G0299 | HHS/HOSPICE OF RN EA 15 MIN | HHPDN | ARB | NA | NA | NA | S N | ||||
| G0300 | HHS/HOSPICE OF LPN EA 15 MIN | HHPDN | ALB | NA | NA | NA | S N |