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HCPCS codes / G / G0534

G0534

Coordinated care and/or referral services, such as to adequate and accessible community resources to address unmet health-related social needs, including harm reduction interventions and recovery support services a patient needs and wishes to pursue, which significantly limit the ability to diagnose or treat an opioid use disorder; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
M5D
Pricing indicator
13
Effective date
20250101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.