Question 1

What is HCPCS code G2087?

Accepted Answer

HCPCS code G2087 is "Off base opioid tx, 60 m". Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month

Question 2

What category is G2087 in?

Accepted Answer

G2087 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2087?

Accepted Answer

Use G2087 when billing for off base opioid tx, 60 m. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G2087 covered by Medicare?

Accepted Answer

Coverage for G2087 (Off base opioid tx, 60 m) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G2087?

Accepted Answer

Documentation for G2087 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).