HCPCS G0316 Code. Prolong inpt eval add15 m

HCPCS Code: G0316
Long Description: 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)
Short Description: Prolong inpt eval add15 m

Original information is taken from G0316 page

Pricing Indicator Code 1: 11 – Price established using national rvu's. Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Coverage: C – Carrier judgment

Berenson-Eggers Type of Service (BETOS): Y1 – Other - Medicare fee schedule
Type Of Service 1: 1 – Medical care

Anesthesia Base Unit Quantity: 0
Code Added Date: 20230101
Code Effective Date: 20230101
Action Code: N – No maintenance for this code