G0442 is Medicare alcohol-misuse screening. G2011 covers a structured alcohol or non-tobacco substance assessment lasting 5 to 15 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
G2011 Misuse assessment Medicare reimbursement rates in Arkansas
Report G2011 for a 5- to 15-minute structured assessment of alcohol or non-tobacco substance misuse, such as an AUDIT or DAST screening. Compare G2011 office and facility rates across CMS payment localities in Arkansas.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for G2011 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$16.13
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
Facility setting
$13.83
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Behavioral health
About G2011: Alcohol and substance misuse assessment
Report G2011 for a 5- to 15-minute structured assessment of alcohol or non-tobacco substance misuse, such as an AUDIT or DAST screening.
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.
Where the value comes from
- Work RVU0.33 · 63%
- Practice expense (office) RVU0.16 · 31%
- Malpractice RVU0.03 · 6%
10.5K
Medicare services in 2024 · #1447 by national volume
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.
G2011 compared with similar codes
Office rates for Arkansas, from the same CMS release.
Audit/dast 15-30 min
99408 describes screening plus brief intervention for alcohol or substance misuse. G2011 describes a shorter structured assessment, not the intervention.
Audit/dast over 30 min
99409 is for screening and brief intervention at a longer time level. G2011 covers a structured assessment lasting 5 to 15 minutes.
Compare G2011 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
$16.13
Facility
$13.83
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G2011 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
15,419
- Code
- G2011
- Physician work
- 0.33
- Practice expense
- 0.16
- Malpractice
- 0.03
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.33 | × 1.000 | 0.3300 |
| Practice expense | 0.16 | × 0.859 | 0.1374 |
| Malpractice | 0.03 | × 0.515 | 0.0155 |
| Total RVUs | 0.4829 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$16.13
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.33 | 1 |
| Practice expense | 0.16 | 0.859 |
| Malpractice | 0.03 | 0.515 |
(0.33 × 1 + 0.16 × 0.859 + 0.03 × 0.515) × $33.4009 = $16.13
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.33 | 1 |
| Practice expense | 0.08 | 0.859 |
| Malpractice | 0.03 | 0.515 |
(0.33 × 1 + 0.08 × 0.859 + 0.03 × 0.515) × $33.4009 = $13.83
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
G2011 billing questions
When should G2011 be chosen over G0442?
G2011 describes a 5- to 15-minute structured assessment of alcohol or non-tobacco substance misuse. G0442 is the Medicare alcohol-misuse screening service; it is limited to alcohol screening.
Does G2011 include counseling or treatment?
No. G2011 describes the structured assessment. Counseling or treatment is a distinct service and requires its own documentation and applicable coding.
What should the record show?
Document the assessment method or tool, the time spent, and the result. The record should make clear that the work was a structured assessment rather than an informal discussion.
How much time does G2011 represent?
G2011 is for a structured assessment lasting 5 to 15 minutes. Base the selection on time spent on the assessment, not the total visit length.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
