Question 1

Does G0087 require prior authorization?

Accepted Answer

No, G0087 does not require prior authorization (low confidence). No active coverage policies found for this code.

Question 2

What is the Medicare reimbursement rate for G0087?

Accepted Answer

Medicare facility rate: $103.21. Non-facility rate: $103.21. Work RVU: 1.80.

`G0087` — Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility)

Prior Authorization