G0463 Hospital outpt clinic visit
Also known as: hospital clinic visit, outpatient clinic appt, facility visit
Hospital-based outpatient clinic visit for established or new patient comprehensive evaluation and medical management.
In Plain Language
Visit to hospital clinic; Hospital outpatient appointment; Specialist clinic consultation
Clinical Context
Used for visits in hospital-affiliated outpatient clinics where hospital resources and infrastructure support the visit.
RVU Information
CPT G0463 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
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
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the G Codes category, 85% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code G0463?
CPT G0463 (Hospital outpt clinic visit) is a G Codes code. Hospital-based outpatient clinic visit for established or new patient comprehensive evaluation and medical management.
Who uses CPT code G0463?
CPT G0463 is used by Hospital-Based Care, Outpatient Services, General Medicine. Used for visits in hospital-affiliated outpatient clinics where hospital resources and infrastructure support the visit.
When is CPT G0463 used?
Used for visits in hospital-affiliated outpatient clinics where hospital resources and infrastructure support the 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.