Question 1

Does G3003 require prior authorization?

Accepted Answer

No, G3003 does not require prior authorization (low confidence). No active coverage policies found for this code.

Question 2

What is the Medicare reimbursement rate for G3003?

Accepted Answer

Medicare facility rate: $22.71. Non-facility rate: $31.73. Work RVU: 0.50.

`G3003` — Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)

Prior Authorization