HCPCS Level II › G codes G0333 Dispense fee initial 30 dayPharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary
Medicare coverage: Special coverage instructions apply Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 0 units per day (clinical), rationale: CMS Policy Outpatient hospital: max 0 units per day (clinical), rationale: CMS Policy DME supplier: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction Medicare pricing for G0333 Physician Fee Schedule (CY 2026, RVU26D) Status X: statutory exclusion, not paid under the PFS.
Payer policies and prior authorization for G0333 Medicaid fee-for-service Prior authorization required or conditional in IN.
CO: $14.18 (health_first_colorado), effective Jul 1, 2026 MA: $48.45 (dme_rates), effective Mar 1, 2026 ND: $57.00 (physician), effective Aug 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.