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Codes: g0380

g0380

g0380 is a valid HCPCS code for 2023. It's used to specify:
Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name posted signs advertising or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made based on a representative sample of patient visits that occurred during that calendar year it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)

g0380- HCPCS Details

HCPCS Code

g0380

Description

Short Description
Lev 1 hosp type b ed visit
Long Description
Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name posted signs advertising or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made based on a representative sample of patient visits that occurred during that calendar year it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment)

A code denoting Medicare coverage status.

HCPCS Coverage Code ⓘ

C

A code denoting the change made to a procedure or modifier code within the HCPCS system.

HCPCS Action Code ⓘ
N =
No maintenance for this code

Code used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.

HCPCS Pricing Indicator ⓘ
00 =
Service not separately priced by part B (e.G. services not covered bundled used by part a only etc.)

Code used to identify instances where a procedure could be priced under multiple methodologies.

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')

Berenson-Eggers Type of Service (BETOS) classification categories are used to analyze Medicare costs. All Health Care Financing Administration Common Procedure Coding System (HCPCS) procedure codes are assigned to a BETOS category.

BETOS Classification ⓘ

M3 =
Emergency room visit

The carrier assigned CMS type of service which describes the particular kind(s) of service represented by the procedure code.

Type of Service ⓘ

1 =
Medical care
( )

Effective date of action to a procedure or modifier code

Effective Date ⓘ

01/01/2008

The year the HCPCS code was added to the Healthcare Common Procedure Coding System.

Date Added ⓘ

01/01/2007
Termination Date
-

The HCPCS Code Section that this code belongs to. It's typically denoted by the first letter in the code.

Code Section ⓘ

g