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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.

Find G2011 in your payment locality →

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.

G0442

Alcohol screening

Annual 15-minute preventive screen

$16.80

G0442 is Medicare alcohol-misuse screening. G2011 covers a structured alcohol or non-tobacco substance assessment lasting 5 to 15 minutes.

99408

Audit/dast 15-30 min

No office rate

99408 describes screening plus brief intervention for alcohol or substance misuse. G2011 describes a shorter structured assessment, not the intervention.

99409

Audit/dast over 30 min

No office rate

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

Office and facility base rates · shared scale starting at $0

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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
Office / nonfacility calculation for G2011 in Arkansas
ComponentRVULocality factorAdjusted
Physician work0.33× 1.0000.3300
Practice expense0.16× 0.8590.1374
Malpractice0.03× 0.5150.0155
Total RVUs0.4829
Conversion factor× 33.4009

Office / nonfacility rate, Arkansas$16.13

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.331
Practice expense0.160.859
Malpractice0.030.515

(0.33 × 1 + 0.16 × 0.859 + 0.03 × 0.515) × $33.4009 = $16.13

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.331
Practice expense0.080.859
Malpractice0.030.515

(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.

RVUs for G2011PPRRVU2026_Oct_nonQPP.csv, line 15,419 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)