HCPCS Code G0463

Hospital outpatient clinic visit for assessment and management of a patient
Code effective Jan 01, 2014

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G0463 is a valid 2026 HCPCS code meaning Hospital outpatient clinic visit for assessment and management of a patient or (Hospital outpt clinic visit) for short. HCPCS G0463 has been effective since 01/01/2014 and applies to Medical care.


HCPCS Code Details - G0463

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G0463
Description

Long description:
Hospital outpatient clinic visit for assessment and management of a patient

Short description:
Hospital outpt clinic visit

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code M1B - Office visits - established
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2014
Date added Added Jan 01, 2014

See also

  • HCPCS G0462 · Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure)

  • HCPCS C9803 · Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source

  • HCPCS G0464 · Colorectal cancer screening; stool-based dna and fecal occult hemoglobin (e.g., kras, ndrg4 and bmp3)

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”


HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.