G0316
HospitalCMS status: AProlonged hospital inpatient or observation care evaluation and management — Medicare prolonged outpatient service code.
Work RVU
0.61
Practice RVU
0.18
Malpractice RVU
0.04
Total RVU
0.83
2026 Medicare payment
$27.72
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop G0316 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Medicare-specific prolonged service code for outpatient E/M, replacing 99417 for Medicare beneficiaries. Each 15 minutes beyond 99215/99205 thresholds.
Documentation checklist
- ✓Total time on date of encounter.
- ✓Must exceed the threshold for the primary code by at least 15 minutes.
Common pitfalls
- !Don't bill both G0316 and 99417 — payer determines which one applies.
- !Document the prolonged time separately from the underlying E/M time.
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.