HCPCS G2011: Misuse assessmentMedicare rate & RVUs in Delaware

In Delaware, Medicare pays $17.26 for G2011 in the office and $14.62 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · G2011 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What G2011 covers

G2011 covers a structured assessment of possible alcohol or non-tobacco substance misuse, typically performed during an outpatient primary care or behavioral health visit. A clinician may use a validated instrument such as the AUDIT for alcohol use or the DAST for drug use. The service is the assessment itself; it is not a general discussion of substance use or counseling alone. The code describes an assessment lasting 5 to 15 minutes.

Report G2011 when the structured assessment and its time are documented. Record the instrument or assessment method, the time spent, and the findings. A positive result may lead to further evaluation or counseling, but those activities are distinct from the assessment. CMS assigns physician fee schedule resource values to G2011, including practice-expense inputs that differ by office and facility setting; FeeBase displays payment rates separately.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for G2011

Across 109 of 109 payment localities, the office rate for G2011 runs from $16.13 in Arkansas to $22.78 in Alaska*. Delaware pays $17.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

G2011 rates by state

Office rate range in each state. Select a state to see its payment localities.

See G2011 in every payment locality

How the G2011 rate is calculated

Each of G2011’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for G2011

G2011 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to G2011

Related codes aren’t interchangeable: bill the code that matches the service performed.

How G2011 has changed in Delaware

Price G2011 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• G2011 in Arden
• G2011 in Ardencroft
• G2011 in Ardentown
• G2011 in Bear
• G2011 in Bellefonte
• G2011 in Bethany Beach
• G2011 in Bethel
• G2011 in Blades

Browse all communities in Delaware

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates