Question 1

Does G2086 require prior authorization?

Accepted Answer

No, G2086 does not require prior authorization (low confidence). No active coverage policies found for this code.

Question 2

What is the Medicare reimbursement rate for G2086?

Accepted Answer

Medicare facility rate: $362.73. Non-facility rate: $491.33. Work RVU: 8.36.

`G2086` — Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month

Prior Authorization