G0312 Insurance Policy Changes

HCPCS G0312 is officially defined as "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, 5 to 15 mins time (this code is used for medicaid billing purposes)." HCPCS G0312 is referenced in 3 tracked payer policy changes from Aetna and Kansas Medicaid (KanCare). For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS G0312 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.