G0463 HCPCS Level II code: Hospital outpatient clinic visit for assessment and management of a patient
G0463 is the HCPCS code for “Hospital outpatient clinic visit for assessment and management of a patient” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G0463Hospital outpatient clinic visit for assessment and management of a patient
Short description: Hospital outpt clinic visit
HCPCS · United States
Medicare details
The indicators CMS publishes with G0463 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Office visits - established
- Added
- Jan 1, 2014
Where G0463 sits
- 1G codesProcedures and professional services
- 2Active code G0463Hospital outpatient clinic visit for assessment and management of a patient
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.
Frequently asked questions
What does HCPCS code G0463 mean?
G0463 is the HCPCS code for “Hospital outpatient clinic visit for assessment and management of a patient” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G0463?
CMS lists G0463’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
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.
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