G0381 - Level 2 emergency department visit at a Type B emergency department
Healthcare Common Procedure Coding System
What is a HCPCS Code?
HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical procedures, supplies, and services for billing purposes. These codes help standardize how healthcare services are reported and billed across different providers and insurance companies.
Detailed Description
This code represents a moderate complexity emergency department visit at a Type B emergency department. A Type B emergency department is a facility that meets specific licensing and operational requirements - it must be either licensed by the state as an emergency room/department, publicly advertised as providing emergency care without appointments, or provide at least one-third of its outpatient visits for emergency conditions without requiring scheduled appointments. Level 2 visits typically involve straightforward medical decision making for patients with low to moderate complexity medical problems.
Additional Information
This is a billing code used by healthcare facilities to document the level of service provided during an emergency department visit. The actual medical care and costs will vary based on your specific condition and treatment received.
Category
Emergency Department Services
Medical Specialty
Emergency Medicine
Expected Costs
Your actual cost will depend on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- Must be seen in a qualifying Type B emergency department
- Medical condition requiring emergency evaluation
What to Expect After
- Follow-up depends on specific condition treated
- May require primary care physician follow-up
- Specialist referral if indicated
Why Understanding This Code Matters
On Your Medical Bill
This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.
For Your Health
Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.
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