G0318 HCPCS - 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)

Code Information

HCPCS Code: G0318
Sequence Number: 0010
Short Description: Prolong home eval add 15m
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)
Date Added: 1/1/2023
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2023
Classification: Temporary Procedures & Professional Services
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: Y1 - Other - Medicare fee schedule
Type Of Service Code:
- 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Pricing Indicator Code:
- 11 - Price established using national rvu's
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
N/A
Medicare Carriers Manual Reference Section Number:
N/A
Coverage Code: C - Carrier judgment

Field Name	Field Value
Healthcare Common Procedure Coding System Code	G0318
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	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)
HCPCS Short Description	Prolong home eval add 15m
HCPCS Pricing Indicator Code 1	11 - Price established using national rvu's
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Code	C - Carrier judgment
HCPCS Berenson-Eggers Type Of Service Code	Y1 - Other - Medicare fee schedule
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	1/1/2023
HCPCS Action Effective Date	1/1/2023
HCPCS Action Code	N - No maintenance for this code