Question 1

Does G2213 require prior authorization?

Accepted Answer

No, G2213 does not require prior authorization (low confidence). No active coverage policies found for this code.

Question 2

What is the Medicare reimbursement rate for G2213?

Accepted Answer

Medicare facility rate: $54.44. Non-facility rate: $66.47. Work RVU: 1.27.

`G2213` — Initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services (list separately in addition to code for primary procedure)

Prior Authorization