HCPCS code G2172 — Tx for opioid use demo proj.
Status: Active.
Effective Apr 1, 2021.
Source: CMS HCPCS Level II.
G2172
ActiveTx for opioid use demo proj
All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Apr 1, 2021
Code type:
alphanumeric
OPPS Status:
A
— Paid under a separate fee schedule (not OPPS)
MUE — Medically Unlikely Edits
Maximum units of G2172 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 | 1 |
| Practitioner Services | 1 |
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.
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New Code 2021-Q2Tx for opioid use demo proj