Question 1

Does G2015 require prior authorization?

Accepted Answer

No, G2015 does not require prior authorization (low confidence). No active coverage policies found for this code.

Question 2

What is the Medicare reimbursement rate for G2015?

Accepted Answer

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

`G2015` — Comprehensive (60 mins) 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 within 90 days following discharge from an inpatient facility.)

Prior Authorization