G0315 HCPCS - IMMUNIZATION COUNSELING BY A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL FOR COVID-19, AGES UNDER 21, 5-15 MINS TIME (THIS CODE IS USED FOR THE MEDICAID EARLY AND PERIODIC SCREENING, DIAGNOSTIC, AND TREATMENT BENEFIT (EPSDT)

Code Information

  • HCPCS Code: G0315
  • Sequence Number: 0010
  • Short Description: Counsel immune <21 5-15 m
  • Long Description: Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)
  • Date Added: 5/11/2022
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 5/11/2022
  • Classification: Temporary Procedures & Professional Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: M5D - Specialist - other
  • Type Of Service Code:
    • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

  • Pricing Indicator Code:
    • 99 - Value not established
  • Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: I - Not payable by Medicare

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G0315
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt)
      HCPCS Short Description Counsel immune <21 5-15 m
      HCPCS Pricing Indicator Code 1 99 - Value not established
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Coverage Code I - Not payable by Medicare
      HCPCS Processing Note Number 0225
      HCPCS Berenson-Eggers Type Of Service Code M5D - Specialist - other
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 5/11/2022
      HCPCS Action Effective Date 5/11/2022
      HCPCS Action Code N - No maintenance for this code

      Download Record

      Download this CLIA record record in Text format: Export

      Download this CLIA record record in Excel (CSV) format: Export

      Download this CLIA record record in XML format: Export

      This page was last updated on: 7/1/2024