G0312 HCPCS Level II code: Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for…

Q: Does Medicare cover G0312?

CMS lists G0312’s Medicare coverage as “Not payable by Medicare” and its pricing as “Value not established”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Q: Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.

G0312 is the HCPCS code for “Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code…” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

G0312

Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)

Short description: Immunize couns < 21yr 5-15 m

HCPCS · United States

Notes for G0312

As CMS prints them, with any note G0312 takes from the headings above it.

Note

CMS processing note 0225: SERVICES FOR MEDICAID PURPOSES.

Medicare details

The indicators CMS publishes with G0312 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage: Not payable by Medicare
Medicare pricing: Value not established
Type of service: Medical care
BETOS category: Specialist - other
Added: May 11, 2022

Where G0312 sits

1G codesProcedures and professional services
2Active code G0312Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)

Source and release

Data release: HCPCS Level II · October 2026
Effective date: Oct 1, 2026
Publisher: CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

See G0312 in the CMS source

Frequently asked questions

What does HCPCS code G0312 mean?

G0312 is the HCPCS code for “Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover G0312?