2024 HCPCS Code G0316

Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)

TAGS: additional primary 99236 total physician patient management separately selected prolonged hospital minutes qualified addition inpatient report healthcare codes observation service using contact evaluation direct g0316 beyond

Short DescriptionProlong inpt eval add15 m
HCPCS Coverage Code C - Carrier judgment
HCPCS Action Code N - No maintenance for this code
HCPCS Action Effective Date January 01, 2023
HCPCS Code Added Date January 01, 2023
HCPCS Pricing Indicator Code 11 - Price established using national rvu's
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code 1 - Medical care
HCPCS Anesthesia Base Unit Quantity 0

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