Hospital · CMS status A
G0316
Prolong inpt eval add15 m
Medicare prolonged hospital inpatient or observation E/M add-on.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Work RVU
0.61
National non-QP estimate
$34.74
National GPCI · non-facility · CF $33.4009
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
RVU anatomyWork 0.61 + Practice 0.38 + Malpractice 0.05 = 1.04 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 3 elements your note needs before submitting
- Common pitfalls: the 2 mistakes that get G0316 downcoded or denied
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Payer notes
CMS corrected older published thresholds. Use current CMS guidance, not superseded tables.
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what G0316 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.