G0463 - Hospital outpatient clinic visit for patient assessment and management
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 visit to a hospital's outpatient clinic where a healthcare provider evaluates and manages a patient's medical condition. This type of visit occurs when you receive care at a hospital-based clinic but are not admitted as an inpatient. The provider will assess your health status, review symptoms, and develop or adjust your treatment plan during this appointment.
Additional Information
This is a general code for hospital outpatient clinic visits and can apply to various medical specialties and conditions. The specific services provided during your visit will depend on your individual medical needs and the type of clinic.
Category
Outpatient Services
Medical Specialty
General/Multi-specialty
Expected Costs
Your actual cost will depend on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- Appointment scheduling
- Insurance verification may be required
What to Expect After
- Follow-up appointments as determined by provider
- Additional testing or referrals may be recommended
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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