Hospital · CMS status A
G0316
Prolonged hospital E/M ea 15 min
Prolonged hospital inpatient or observation care evaluation and management, each additional 15 minutes beyond the maximum time of the primary code. Medicare-specific add-on for hospital E/M; the inpatient counterpart of office-based G2212. CMS 2026 wRVU 0.61.
Work RVU
0.61
2026 Medicare pays
$27.72
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.61 + Practice 0.18 + Malpractice 0.04 = 0.83 total
Work (your effort)Practice expenseMalpractice
Billing guidance for G0316 is locked
- When to use it: the exact clinical situations that support billing G0316
- Documentation checklist: the 4 elements your note needs before submitting
- Common pitfalls: the 4 mistakes that get G0316 downcoded or denied
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Payer notes
Medicare and Medicare Advantage only. Commercial payers use CPT 99418 for prolonged inpatient services; verify payer policy before submitting. G0317 covers prolonged nursing facility services and G0318 covers home and residence services under the same trigger-time logic.
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.