G0318 Prolong home evaluation add 15m
Also known as: prolonged home eval +15, extended home visit
Prolonged home health evaluation and management service adding 15 minutes of physician time for comprehensive patient assessment.
In Plain Language
longer home doctor visit
Clinical Context
Used in home-based care when complex conditions require extended physician time for comprehensive evaluation and management planning.
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 G0318?
CPT G0318 (Prolong home evaluation add 15m) is a G Codes code. Prolonged home health evaluation and management service adding 15 minutes of physician time for comprehensive patient assessment.
Who uses CPT code G0318?
CPT G0318 is used by Primary Care, Home Health, Internal Medicine. Used in home-based care when complex conditions require extended physician time for comprehensive evaluation and management planning.
When is CPT G0318 used?
Used in home-based care when complex conditions require extended physician time for comprehensive evaluation and management planning.
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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.