G2000, Blinded administration of convulsive therapy procedure, either
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Documentation Required
- Medical records documentation may be required to assess whether the member meets the clinical criteria for coverage, but it does not guarantee coverage; reference member plan documents and guidelines.
- Medical records documentation may be required to assess whether the member meets the clinical criteria for coverage (may be required by benefit plan or laws) but does not guarantee coverage.
Key Coverage Criteria
- Cover Routine Patient Costs for a Qualifying Individual participating in an Approved Clinical Trial as required by PPACA for plan years starting on/after 2014; benefits include reasonable and necessary items/services to prevent, diagnose, and treat complications arising from participation.
- PPACA requires non-grandfathered plans to cover Routine Patient Costs for a Qualifying Individual in an Approved Clinical Trial; benefits include reasonable and necessary items and services to prevent, diagnose, and treat complications arising from participation in the trial.
- Cover routine patient costs for qualifying individuals participating in an approved clinical trial as defined under PPACA (for plan years starting on or after 01/01/2014).
3 Active Policies
UHC-POL-clinical-trials, Clinical Trials
UMR-POL-UMR-clinical-trials, Clinical Trials
SUREST-POL-SUREST-clinical-trials, Clinical Trials
Related Codes
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