Question 1

Does G9053 require prior authorization?

Accepted Answer

No, G9053 does not require prior authorization (low confidence). No active coverage policies found for this code.

Question 2

What is the Medicare reimbursement rate for G9053?

Accepted Answer

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

`G9053` — Oncology; primary focus of visit; expectant management of patient with evidence of cancer for whom no cancer directed therapy is being administered or arranged at present; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project)

Prior Authorization