Table of content for "Prolong home eval add 15m" (HCPCS G0318)
General information on the “G0318” code
HCPCS Code: G0318
Long Description: Prolonged home or residence 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 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes)
Short Description: Prolong home eval add 15m
Original information is taken from G0318 page
Pricing indicators
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
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): Y1 – Other - Medicare fee schedule
Type Of Service 1: 1 – Medical care
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20230101
Code Effective Date: 20230101
Action Code: N – No maintenance for this code