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 receive federal funding to provide primary care services in underserved areas. This visit includes a one-on-one encounter between you and a healthcare practitioner where medical services are provided. The code covers a bundle of typical Medicare-covered services that would be provided during your visit to the FQHC.
Additional Information
FQHCs provide comprehensive primary care services to patients regardless of their ability to pay. This code specifically applies to established patients (those who have been seen at the FQHC before) and includes bundled services typically provided during the visit.
Category
Primary Care Visit
Medical Specialty
Primary Care/Family Medicine
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 medically necessary visit
What to Expect After
- Follow-up care as recommended by your FQHC provider
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.
Want This Level of Detail on All Your Claims?
Get detailed explanations for every medical code on your Medicare bills. Currently supporting Medicare only.