G0313 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, 16-30 mins time (this code is used for medicaid billing purposes)
Short descriptor: Immunize couns < 21yr 6-30 m
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G0313 is the HCPCS Level II 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, 16-30 mins time (this code is used for medicaid billing purposes) (2026). It belongs to Section G — Procedures / Professional Services (Temporary). Under Medicare, its coverage status is: Not payable by Medicare. Part B pricing methodology: Value not established.
Classification & CMS Attributes
- Medicare Coverage
- Not payable by Medicare (code I)
- Part B Pricing
- Value not established (indicator 99)
- Type of Service
- Medical care
- Effective Date
- 2022-05-11
- 2026 Maintenance
- No change this year
References
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G0313 — 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, 16-30 mins time (this code is used for medicaid billing purposes). ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/G0313
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