hcpcs data

G0427

Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth

Medicare: Carrier judgmentG seriesAdded January 01, 2010

What G0427 means

G0427 (Inpt/ed teleconsult70) belongs to the HCPCS Level II G series (Procedures / Professional Services (Temporary)). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

Part B pricing: Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion).

Code details

Short description
Inpt/ed teleconsult70
Coverage code
C = Carrier judgment
Pricing indicator
13 = Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
Multiple pricing indicator
A = Not applicable as HCPCS priced under one methodology
Type of service
3 = Consultation
Action code
N = No maintenance for this code
Action effective date
January 01, 2012
Code added date
January 01, 2010
Data year
2026

Questions about G0427

What is HCPCS code G0427?

HCPCS code G0427 is a Level II code in the G series (Procedures / Professional Services (Temporary)). Its full description is: "Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth"

Is G0427 a CPT code?

No. G0427 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.

Does Medicare cover HCPCS code G0427?

The Medicare coverage code for G0427 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

When was HCPCS code G0427 added?

G0427 was added to the HCPCS code set on January 01, 2010. The most recent action on it (No maintenance for this code) took effect on January 01, 2012.

All G codes