Does 13100 require prior authorization?

No, 13100 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 13100?

Medicare facility rate: $171.35. Non-facility rate: $338.02. Work RVU: 2.93.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

2.93

Facility

$171.35

Non-Facility

$338.02

No specific documentation requirements provided in the supplied document text.
Health care providers are expected to exercise their medical judgment in rendering appropriate care (implicit expectation of clinical documentation, but no explicit documentation list provided).
None specified in the provided text
No specific documentation requirements are stated in the provided text.

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