Question 1

What is HCPCS code G2088?

Accepted Answer

HCPCS code G2088 is "Off base opioid tx, add30". Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure)

Question 2

What category is G2088 in?

Accepted Answer

G2088 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2088?

Accepted Answer

Use G2088 when billing for off base opioid tx, add30. 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 G2088 covered by Medicare?

Accepted Answer

Coverage for G2088 (Off base opioid tx, add30) 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 G2088?

Accepted Answer

Documentation for G2088 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).