G0545 : HCPCS Code (2025) : XML

G0545 : Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge) ( Inherent visit to inpt )

HCPCS Code : G0545 – XML Data Format

                
<?xml version="1.0" encoding="UTF-8"?>
<HCPCS>
	<HCPC>
		G0545
	</HCPC>
	<LongDescription>
		Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge)
	</LongDescription>
	<ShortDescription>
		Inherent visit to inpt
	</ShortDescription>
	<PricingIndicators>
		<PricingIndicator>
			<PricingIndicatorName>
				13
			</PricingIndicatorName>
			<PricingIndicatorCode>
				Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule.
			</PricingIndicatorCode>
		</PricingIndicator>
	</PricingIndicators>
	<MPI>
		A
	</MPI>
	<MultiplePricingIndicatorCode>
		Not applicable as HCPCS priced under one methodology
	</MultiplePricingIndicatorCode>
	<CIMs/>
	<MCMs>
	</MCMs>
	<Statute/>
	<LabCertifications/>
	<XReferences/>
	<Coverage>
		C
	</Coverage>
	<CoverageDescription>
		Carrier judgment
	</CoverageDescription>
	<ASCPayGrp/>
	<ASCPayGrpEffDate/>
	<MOGPayGrp/>
	<MOGPaymentGroupCode/>
	<MOGPayInd/>
	<MOGPaymentPolicyIndicator/>
	<MOGEffDate/>
	<ProcNote/>
	<BETOS>
		M5D
	</BETOS>
	<BETOSDescription>
		Specialist - other
	</BETOSDescription>
	<TypeOfServices>
		<TypeOfService>
			<TOS>
				1
			</TOS>
			<TypeOfServiceCode>
				Medical care
			</TypeOfServiceCode>
		</TypeOfService>
	</TypeOfServices>
	<AnestBaseUnits>
		0
	</AnestBaseUnits>
	<CodeAddDate>
		20250101
	</CodeAddDate>
	<ActionEffDate>
		20250101
	</ActionEffDate>
	<TermDate/>
	<ActionCode>
		N
	</ActionCode>
	<ActionCodeDescription>
		No maintenance for this code
	</ActionCodeDescription>
</HCPCS>

                
            

HCPCS XML XSD Schema

                
<xs:schema attributeFormDefault="unqualified" elementFormDefault="qualified" xmlns:xs="http://www.w3.org/2001/XMLSchema">
  <xs:element name="HCPCS">
    <xs:complexType>
      <xs:sequence>
        <xs:element type="xs:string" name="HCPC"/>
        <xs:element type="xs:string" name="LongDescription"/>
        <xs:element type="xs:string" name="ShortDescription"/>
        <xs:element name="PricingIndicators">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="PricingIndicator" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="PricingIndicatorName"/>
                    <xs:element type="xs:string" name="PricingIndicatorCode"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="MPI"/>
        <xs:element type="xs:string" name="MultiplePricingIndicatorCode"/>
        <xs:element name="CIMs">
          <xs:complexType>
            <xs:sequence>
              <xs:element type="xs:string" name="CIM" maxOccurs="unbounded" minOccurs="0"/>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element name="MCMs">
          <xs:complexType>
            <xs:sequence>
              <xs:element type="xs:string" name="MCM" maxOccurs="unbounded" minOccurs="0"/>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="Statute"/>
        <xs:element name="LabCertifications">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="LabCertification" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="LabCert"/>
                    <xs:element type="xs:string" name="LabCertificationCode"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element name="XReferences">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="XReference" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="XRef"/>
                    <xs:element type="xs:string" name="XRefDescription"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="Coverage"/>
        <xs:element type="xs:string" name="CoverageDescription"/>
        <xs:element type="xs:string" name="ASCPayGrp"/>
        <xs:element type="xs:string" name="ASCPayGrpEffDate"/>
        <xs:element type="xs:string" name="MOGPayGrp"/>
        <xs:element type="xs:string" name="MOGPaymentGroupCode"/>
        <xs:element type="xs:string" name="MOGPayInd"/>
        <xs:element type="xs:string" name="MOGPaymentPolicyIndicator"/>
        <xs:element type="xs:string" name="MOGEffDate"/>
        <xs:element type="xs:string" name="ProcNote"/>
        <xs:element type="xs:string" name="BETOS"/>
        <xs:element type="xs:string" name="BETOSDescription"/>
        <xs:element name="TypeOfServices">
          <xs:complexType>
            <xs:sequence>
              <xs:element name="TypeOfService" maxOccurs="unbounded" minOccurs="0">
                <xs:complexType>
                  <xs:sequence>
                    <xs:element type="xs:string" name="TOS"/>
                    <xs:element type="xs:string" name="TypeOfServiceCode"/>
                  </xs:sequence>
                </xs:complexType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element type="xs:string" name="AnestBaseUnits"/>
        <xs:element type="xs:float" name="CodeAddDate"/>
        <xs:element type="xs:float" name="ActionEffDate"/>
        <xs:element type="xs:string" name="TermDate"/>
        <xs:element type="xs:string" name="ActionCode"/>
        <xs:element type="xs:string" name="ActionCodeDescription"/>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
</xs:schema>