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Are the new bundled G codes (G2086, G2087 & G2088) for OUD treatment ONLY for telehealth services or for use in office setting also?
Bundled Payments under the PFS for Opioid Use Disorders
A bundled payment for the management and counseling for OUD, will create an avenue for clinicians to bill for a group of services in the office setting similar to the services being paid for under the new OTP benefit for opioid treatment program clinics. CMS is finalizing the creation of new coding and payment for a monthly bundle of services for the treatment of OUD that includes overall management, care coordination, individual and group psychotherapy, and substance use counseling, as well as an add-on code for additional counseling. The individual psychotherapy, group psychotherapy, and substance use counseling included in these codes could be furnished as Medicare telehealth services using communication technology as clinically appropriate. CMS will consider coding and payment amounts that recognize different levels of patient need and different types of practice arrangements for future rulemaking, including use of MAT in the emergency department setting.
Hello, I saw this thread and have a question on billing for opioid tx. I have a psychiatrist that is providing these services now. He is seeing Medicaid and Caresource and Med Advantage patients. Do you know the CPT to use for biling OTP? It is for office visit not telehealth. I just tagged on this forum I found. Thank youHi there. It's both.
The codes are listed as telehealth services and the originating site for an OUD treatment can be the patient's home. Here's the complete list of telehealth services for 2020 (and 2019): https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes
However, CMS says this (emphasis added):
Hi there,Hi there. It's both.
The codes are listed as telehealth services and the originating site for an OUD treatment can be the patient's home. Here's the complete list of telehealth services for 2020 (and 2019): https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes
However, CMS says this (emphasis added):
Hi, just to clarify - do you mean case management or carte management?Hi there,
Do you know if case management can be included to G2086/ G2087 or G2088?