G0378, Hospital observation service, per hour
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Documentation Required
- The article states it contains billing and coding guidelines that complement LCD L34552; required claim documentation and any prior authorization rules should be obtained from LCD L34552 and payer-specific instructions.
Key Coverage Criteria
- No specific coverage indications are provided in this article; coverage indications are defined in the referenced Local Coverage Determination (LCD L34552).
1 Active Policy
A56673, Billing and Coding: Outpatient Observation Bed/Room Services
Related Codes
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