Medicare Claims Processing Manual (Pub. 100-04), Ch. 39 § 30.3

Non-drug episode of care

Last amended: 2025Year: 2025Length: 75 wordsOfficial source
30.3 - Non-drug episode of care (Rev. 13147; Issued: 03-28-25; Effective: 01-01-25; Implementation: 03-25-25) HCPCS code G2074 describes a non-drug episode of care. This provides a mechanism for OTPs to bill for non-drug services, including substance use counseling, individual and group therapy, and toxicology testing, that are rendered during weeks when a medication is not administered, for example, in cases where a patient is being treated with injectable buprenorphine or naltrexone on a monthly basis.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 39 § 30.3: Non-drug episode of care | Justis AI