HCPCS G0463: what Medicare pays in 2026
Service defined by CMS CMS description: Hospital outpt clinic visit
G0463 is a hospital outpatient code. Medicare's July 2026 national rate for it is $136.02.
Medicare amounts for G0463 in 2026
- Hospital outpatient rate, national (APC 5012)
- $136.02
- Hospital outpatient status J2
- paid separately, or inside a comprehensive rate in some combinations
Hospital outpatient rates are national figures before Medicare's wage adjustment, which moves about 60% of the rate up or down with local hospital wages.