G0467 - Visit to a Federally Qualified Health Center for an established patient
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 face-to-face medical visit at a Federally Qualified Health Center (FQHC) for a patient who has been seen there before. FQHCs are community-based healthcare providers that serve medically underserved areas and populations. During this visit, you meet one-on-one with a healthcare practitioner who provides medically necessary services. The code covers a bundle of Medicare-covered services that are typically provided during a single day's visit to an FQHC.
Additional Information
FQHCs provide comprehensive primary care services to underserved communities. This code specifically applies to established patients and includes a bundle of services provided during the visit.
Category
Primary Care Visit
Medical Specialty
Primary Care/Community Health
Expected Costs
Your actual cost will depend on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- Must be an established patient at the FQHC
- Must be a face-to-face encounter with FQHC practitioner
What to Expect After
- Follow-up care depends on services provided during visit
- May include additional visits or referrals as medically necessary
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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