2025 HCPCS Code G0384
Level 5 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)
TAGS: sample during previously determination visit provides based emergency least outpatient being requiring hospital state preceding representative scheduled occurred conditions urgent visits calendar applicable basis patient level department provided immediately treatment located public posted medical licensed place| Short Description | Lev 5 hosp type b ed visit | 
| HCPCS Action Code | N - No maintenance for this code | 
| HCPCS Coverage Code | C - Carrier judgment | 
| HCPCS Code Added Date | January 01, 2007 | 
| HCPCS Action Effective Date | January 01, 2008 | 
| HCPCS Pricing Indicator Code | 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) | 
| HCPCS Type Of Service Code | 1 - Medical care | 
| 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') | 
| HCPCS Anesthesia Base Unit Quantity | 0 | 
| HCPCS Coverage Issues Manual Reference Section Number | 
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