G2072 HCPCS - MEDICATION ASSISTED TREATMENT, BUPRENORPHINE (IMPLANT INSERTION AND REMOVAL); WEEKLY BUNDLE INCLUDING DISPENSING AND/OR ADMINISTRATION, SUBSTANCE USE COUNSELING, INDIVIDUAL AND GROUP THERAPY, AND TOXICOLOGY TESTING IF PERFORMED (PROVISION OF THE SERVICES BY A MEDICARE-ENROLLED OPIOID TREATMENT PROGRAM)

Code Information

  • HCPCS Code: G2072
  • Sequence Number: 0010
  • Short Description: Med tx insert/remove imp
  • Long Description: Medication assisted treatment, buprenorphine (implant insertion and removal); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)
  • Date Added: 1/1/2020
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2020
  • Classification: Temporary Procedures & Professional Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: M5D - Specialist - other
  • Type Of Service Code:
    • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

  • Pricing Indicator Code:
    • 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
  • Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G2072
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Medication assisted treatment, buprenorphine (implant insertion and removal); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)
      HCPCS Short Description Med tx insert/remove imp
      HCPCS Pricing Indicator Code 1 13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion)
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code M5D - Specialist - other
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2020
      HCPCS Action Effective Date 1/1/2020
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 7/1/2024