Question 1

Does G0551 require prior authorization?

Accepted Answer

No, G0551 does not require prior authorization (low confidence). No active coverage policies found for this code.

Question 2

What is the Medicare reimbursement rate for G0551?

Accepted Answer

Medicare facility rate: $31.06. Non-facility rate: $36.74. Work RVU: 0.70.

`G0551` — Interprofessional telephone/internet/electronic health record referral service(s) provided by a treating/requesting practitioner in a specialty whose covered services are limited by statute to services for the diagnosis and treatment of mental illness, 30 minutes

Prior Authorization