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G0318

Prolong home eval add 15m

Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes)

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2023-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G0318 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G0318",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Prolong home eval add 15m",
    "billable": true,
    "attributes": {
      "betos": "Y1",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "11",
      "action_effective_date": "2023-01-01"
    },
    "description": "Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes)",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2023-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G0318 in the HCPCS file

betos
Y1
coverage
C
action code
N
type of service
1
pricing indicator
11
action effective date
2023-01-01

Change history

Lifecycle

G0318 has been in effect since 2023-01-01. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up G0318 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G0318 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G0318. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.