HCPCS code
Opioid treatment program (methadone and buprenorphine)
CMS description
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)
In the order to send them
Why these codes
Opioid treatment programs bill as outpatient substance use facilities; drug addiction is the specific benefit.
If a payer returns nothing
Payers don't all answer every service type. Send 30 (Health Benefit Plan Coverage) for the plan's general benefits.
Sources
CMS HCPCS Level II descriptor; X12 HIPAA 5010 service type code definitions; VerifyTX billing practice