Question 1

Does G9685 require prior authorization?

Accepted Answer

No, G9685 does not require prior authorization (low confidence). No active coverage policies found for this code.

Question 2

What is the Medicare reimbursement rate for G9685?

Accepted Answer

Medicare facility rate: $156.65. Non-facility rate: $156.65. Work RVU: 3.50.

`G9685` — Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project

Prior Authorization