HCPCS codes / G / G0536
G0536
Peer recovery support services, provided directly or by referral; including leveraging knowledge of the condition or lived experience to provide support, mentorship, or inspiration to meet oud treatment and recovery goals; conducting a person-centered interview to understand the patient's life story, strengths, needs, goals, preferences, and desired outcomes; developing and proposing strategies to help meet person-centered treatment goals; assisting the patient in locating or navigating recovery support services; 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.