2025 HCPCS code G0390

This HCPCS code represents the service of a trauma response team associated with hospital critical care.

Adhere to all applicable HCPCS coding guidelines and payer-specific instructions.Code G0390 should only be reported once per day, regardless of the number of interventions or procedures performed. Consult CMS guidelines and your payer's policy for further clarification.

Modifiers may apply depending on the circumstances. For example,modifiers may be necessary to indicate the participation status of the physicians or other healthcare professionals involved. Consult your payer’s guidelines regarding modifier usage.

Medical necessity for G0390 is established by the presence of severe trauma requiring immediate intervention by a multidisciplinary trauma team.Documentation should clearly demonstrate the urgency and complexity of the patient's condition necessitating the activation of the trauma team.

The clinical responsibility for G0390 rests with the trauma response team, comprising physicians, nurses, and other healthcare professionals. Their duties include rapid assessment, stabilization, diagnostic testing, and ongoing critical care of the trauma patient.

IMPORTANT May be reported with CPT code 99291 if at least 30 minutes of critical care is provided.Revenue codes (e.g., 068X) may also be required depending on payer and facility type.

In simple words: This code covers the work of a special medical team that's called in when someone has a serious injury.The team helps stabilize the patient quickly, often right in the emergency room, using advanced medical equipment.They check the patient's breathing, heart, and airway and do tests and procedures to help.The bill is sent regardless of whether the patient is admitted or leaves the hospital.

HCPCS code G0390, "Trauma response team associated with hospital critical care service," describes the services provided by a trauma response team activated upon a patient's arrival at a hospital or based on pre-hospital reports indicating severe trauma. The team performs a rapid primary assessment (ABCs: Airway, Breathing, Circulation), implements critical interventions (e.g., securing the airway, controlling bleeding, supporting circulation), orders and performs immediate diagnostics (e.g., X-rays, CT scans, lab tests), and provides continuous monitoring and interventions, including surgery if necessary.The service is billed regardless of patient outcome (death, admission, discharge, or transfer).

Example 1: A patient arrives at the emergency department after a motor vehicle accident with multiple injuries. The trauma team is activated, performs a rapid assessment, and initiates life-saving interventions, including airway management, fluid resuscitation, and hemorrhage control.G0390 is reported along with appropriate CPT codes for subsequent care., A patient is brought in via ambulance after a fall from a significant height, presenting with suspected spinal cord injury. The trauma team is activated immediately. After initial stabilization, the team works in conjunction with neurosurgery and radiology to initiate imaging and prepare for surgery.G0390 is reported along with relevant CPT and revenue codes., A patient is transported to a Level I Trauma Center after a penetrating trauma incident. The trauma team performs a rapid assessment and stabilization before the patient undergoes emergency surgery.Even if the patient is quickly transferred to the operating room for surgical intervention, G0390 is still reported for the initial trauma team activation and stabilization.

Detailed documentation of the patient's pre-hospital condition, the trauma team's initial assessment, all interventions and procedures performed by the team, diagnostic tests conducted, and ongoing care provided must be supported by medical records.

** The billing of G0390 is independent of the patient’s ultimate disposition (death, admission, discharge, or transfer).Always ensure proper documentation supports medical necessity and the services provided by the trauma team.

  • Revenue Code: 068X (may vary by payer)
  • RVU: RVUs vary by payer and location.Consult your payer's fee schedule.
  • Global Days : This code is typically billed once per day, regardless of the length of service provided on that day.
  • Payment Status: Active
  • Modifier TC rule: A Technical Component (TC) modifier is not applicable to G0390 because this is not a procedure with separately identifiable professional and technical components.
  • Fee Schedule : Fee schedules for G0390 vary by payer and location. Consult your payer’s fee schedule for the most current information.
  • Specialties:Emergency Medicine, Trauma Surgery, Critical Care Medicine
  • Place of Service:Emergency Room - Hospital, Inpatient Hospital
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