Infectious Disease: Are You Reporting the Visit Complexity Add-On Code?

This article discusses an add-on Healthcare Common Procedure Coding System (HCPCS) code, G0545, created by the Centers for Medicare & Medicaid Services (CMS) for reporting the visit complexity inherent to an infectious disease subspecialist’s hospital care of a patient with confirmed or suspected infectious disease. This article includes answers to the following questions: What is G0545? Can any physician or other qualified health care professional report this code? When is G0545 reported? What is the value of reporting G0545 for pediatric infectious disease subspecialists?

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Publication Details

Journal
AAP Pediatric Coding Newsletter
Published
2025-12-23
DOI
https://doi.org/10.1542/pcco_book261_document002
Primary Topic
Medical Coding and Health Information
Type
article
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article

Infectious Disease: Are You Reporting the Visit Complexity Add-On Code?

American Academy of Pediatrics
AAP Pediatric Coding Newsletter
Medical Coding and Health Information
article

Infectious Disease: Are You Reporting the Visit Complexity Add-On Code?

American Academy of Pediatrics
article en

Abstract

This article discusses an add-on Healthcare Common Procedure Coding System (HCPCS) code, G0545, created by the Centers for Medicare & Medicaid Services (CMS) for reporting the visit complexity inherent to an infectious disease subspecialist’s hospital care of a patient with confirmed or suspected infectious disease. This article includes answers to the following questions: What is G0545? Can any physician or other qualified health care professional report this code? When is G0545 reported? What is the value of reporting G0545 for pediatric infectious disease subspecialists?

AAP Pediatric Coding NewsletterVol. 21(4)
Openalex Percentile: Top 30%
Medical Coding and Health Information
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Infectious Disease: Are You Reporting the Visit Complexity Add-On Code? — American Academy of Pediatrics · AAP Pediatric Coding Newsletter (2025) | TGRS Research Map | TGRS