G0316 Prolong inpt evaluation add15 m
Also known as: prolonged inpatient eval +15, extended inpt eval
Prolonged hospital inpatient evaluation and management service adding 15 minutes of physician time beyond standard visit complexity.
In Plain Language
longer hospital visit
Clinical Context
Used when complex medical conditions require extended physician time for thorough evaluation and documentation beyond standard hospital visit.
RVU Breakdown
| Work RVU | 0.61 |
| Total RVU | 0.61 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
With a work RVU of 0.61, this code ranks in the 36th percentile among G Codes codes — 1.6x below the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0316?
CPT G0316 (Prolong inpt evaluation add15 m) is a G Codes code. Prolonged hospital inpatient evaluation and management service adding 15 minutes of physician time beyond standard visit complexity.
Who uses CPT code G0316?
CPT G0316 is used by Internal Medicine, Hospital Medicine. Used when complex medical conditions require extended physician time for thorough evaluation and documentation beyond standard hospital visit.
When is CPT G0316 used?
Used when complex medical conditions require extended physician time for thorough evaluation and documentation beyond standard hospital visit.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.