HCPCS code G2078 — Take-home meth. Status: Active. Effective Jan 1, 2020. Source: CMS HCPCS Level II.

G2078

Active

Take-home meth

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

Category: Procedures
Section: G-codes: Procedures / Professional Services
Effective: Jan 1, 2020
Code type: alphanumeric
OPPS Status: A — Paid under a separate fee schedule (not OPPS)

MUE — Medically Unlikely Edits

Maximum units of G2078 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 3
Practitioner Services 3

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.