tci ED Coding & Reimbursement Alert - 2021 Issue Q1

Part B Payment: Fee Schedule Delivers New Code to Help EDs Collect for MAT

If you perform medication assisted treatment, G2213 can help you collect for it. Emergency departments nationwide have long delivered medication assisted treatment (MAT) for patients who used opioids, but a problem arose when trying to collect for the service, since no codes described it. Fortunately, good news arrived in the form of the 2021 Medicare Physician Fee Schedule (MPFS) final rule, which announced Medicare payment for MAT delivered in the ED. Background: ED clinicians often use MAT when treating opioid use disorder, allowing the ED to either initiate MAT and/or refer patients for follow-up care. However, the code set...

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