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)

HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)

Active code Not payable by Medicare

HCPCS codeG0313
Long description
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 description
Immunize couns < 21yr 6-30 m
Pricing indicator
99 Value not established
Medicare coverage
I Not payable by Medicare
BETOS category
M5D Specialist - other
Added
May 11, 2022
Last change
May 11, 2022 – No change

Frequently asked questions

What is HCPCS code G0313?

G0313 is a 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).

Does Medicare cover G0313?

The HCPCS file lists coverage code I: Not payable by Medicare. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby G codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.