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HCPCS Code for Hospital outpatient clinic visit for assessment and management of a patient G0463

HCPCS code G0463 for Hospital outpatient clinic visit for assessment and management of a patient as maintained by CMS falls under Miscellaneous Services .

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Official Long Descriptor

Hospital outpatient clinic visit for assessment and management of a patient

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G0463 with E/M codes
[QUOTE="Kathy DiCenzo, post: 505497, member: 5506"] I've been retired for 5 years now, but I think I see something wrong and I don't know what to do about it! I'm helping 2 friends with their medical... [ Read More ]
G0463 and OV code
[QUOTE="Cat00a@gmail.com, post: 514656, member: 764430"] Can someone please help me understand this. I feel like this is wrong. If a visit charge has been billed why are we also submitting G0463 for... [ Read More ]
G0463 and OV code
Can someone please help me understand this. I feel like this is wrong. If a visit charge has been billed why are we also submitting G0463 for the "use of clinic" w/in the hospital. This is just an ... [ Read More ]
Hospital based Clinic
I'm not sure why you've been told to use the TC and 26 modifiers on E&M codes as that's clearly incorrect - as you've said, those are for diagnostic tests that include both a professional (interpretat... [ Read More ]
E/M G0463 and ancillary same dos
Hello, I would like to know how to have the correct modifiers and condition codes added to same date of service charges for the G0463 and ancillary charges. We cannot get Advantage medicare plans to p... [ Read More ]
Qutenza J7336 application CPT/HCPCS
I am a facility coder for a hospital system that is primarily Medicare and Medicaid patients. I also work denials, NCCI edits, payer specific edits etc for OPPS billing. Our pain management and wound ... [ Read More ]
G0463 with E/M codes
I've been retired for 5 years now, but I think I see something wrong and I don't know what to do about it! I'm helping 2 friends with their medical bills. G0463 is confusing to me. One friend goe... [ Read More ]
PHYSICIAN E&M SERVICE AND FACILITY INFUSION ON THE SAME DAY
If the clinic is part of the hospital, then the facility will bill all of the technical services - the infusion, drugs, and also the facility portion of the E&M service with a modifier 25, if supporte... [ Read More ]
outpatient facility coding for hospital (not inpatient)
Medicare no longer accepts the E/M code range 99201-99215 on outpatient facility claims - you'll need to use G0463 instead. The use of the modifier 25 applies the same to this code as it would to the... [ Read More ]
Provider Based Coding
Hi. I work for a hospital that is provider based and this is my 2c from when I was in the clinic billing department. For the insurances that processed pb claims, SSA medicare, our medicaid program p... [ Read More ]
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