HCPCS code G2213 — Initiat med assist tx in er.
Status: Active.
Effective Jan 1, 2021.
Source: CMS HCPCS Level II.
G2213
ActiveInitiat med assist tx in er
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)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2021
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of G2213 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2021-Q1Initiat med assist tx in er