Question 1

Does G0513 require prior authorization?

Accepted Answer

No, G0513 does not require prior authorization (low confidence). No active coverage policies found for this code.

Question 2

What is the Medicare reimbursement rate for G0513?

Accepted Answer

Medicare facility rate: $50.77. Non-facility rate: $64.80. Work RVU: 1.17.

`G0513` — Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)

Prior Authorization