2023 Opioid Treatment Program Rates

Published 11/06/2023

Please be aware of the 2023 Opioid Treatment Program (OTP) payment rates effective January 1, 2023. The code and fees are listed below. For more information on the OTP program and rates please visit CMS's Opioid Treatment Program Billing & Payment website.

HCPCS Codes and Fees

HCPCS Code G1028

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G1028

10112

Alabama

$127.50

1/1/23

G1028

10212

Georgia (ATL)

$127.68

1/1/23

G1028

10212

Georgia (OTHER)

$127.54

1/1/23

G1028

10312

Tennessee

$127.50

1/1/23

HCPCS Code G2067

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2067

10112

Alabama

$235.01

1/1/23

G2067

10212

Georgia (ATL)

$248.83

1/1/23

G2067

10212

Georgia (OTHER)

$237.52

1/1/23

G2067

10312

Tennessee

$234.59

1/1/23

HCPCS Code G2068

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2068

10112

Alabama

$276.17

1/1/23

G2068

10212

Georgia (ATL)

$289.99

1/1/23

G2068

10212

Georgia (OTHER)

$278.68

1/1/23

G2068

10312

Tennessee

$275.75

1/1/23

HCPCS Code G2069

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2069

10112

Alabama

$1,940.00

1/1/23

G2069

10212

Georgia (ATL)

$1,954.28

1/1/23

G2069

10212

Georgia (OTHER)

$1,942.60

1/1/23

G2069

10312

Tennessee

$1,939.57

1/1/23

HCPCS Code G2070

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2070

10112

Alabama

$5,382.15

1/1/23

G2070

10212

Georgia (ATL)

$5,412.69

1/1/23

G2070

10212

Georgia (OTHER)

$5,387.70

1/1/23

G2070

10312

Tennessee

$5,381.23

1/1/23

HCPCS Code G2071

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2071

10112

Alabama

$451.69

1/1/23

G2071

10212

Georgia (ATL)

$483.61

1/1/23

G2071

10212

Georgia (OTHER)

$457.50

1/1/23

G2071

10312

Tennessee

$450.72

1/1/23

HCPCS Code G2072

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2072

10112

Alabama

$5,602.08

1/1/23

G2072

10212

Georgia (ATL)

$5,648.16

1/1/23

G2072

10212

Georgia (OTHER)

$5,610.46

1/1/23

G2072

10312

Tennessee

$5,600.69

1/1/23

HCPCS Code G2073

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2073

10112

Alabama

$1,542.74

1/1/23

G2073

10212

Georgia (ATL)

$1,557.02

1/1/23

G2073

10212

Georgia (OTHER)

$1,545.34

1/1/23

G2073

10312

Tennessee

$1,542.31

1/1/23

HCPCS Code G2074

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2074

10112

Alabama

$185.09

1/1/23

G2074

10212

Georgia (ATL)

$198.17

1/1/23

G2074

10212

Georgia (OTHER)

$187.47

1/1/23

G2074

10312

Tennessee

$184.69

1/1/23

HCPCS Code G2075

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2075

10112

Alabama

Pending

1/1/23

G2075

10212

Georgia (ATL)

Pending

1/1/23

G2075

10212

Georgia (OTHER)

Pending

1/1/23

G2075

10312

Tennessee

Pending

1/1/23

HCPCS Code G2076

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2076

10112

Alabama

$180.12

1/1/23

G2076

10212

Georgia (ATL)

$192.85

1/1/23

G2076

10212

Georgia (OTHER)

$182.44

1/1/23

G2076

10312

Tennessee

$179.74

1/1/23

HCPCS Code G2077

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2077

10112

Alabama

$110.69

1/1/23

G2077

10212

Georgia (ATL)

$118.51

1/1/23

G2077

10212

Georgia (OTHER)

$112.11

1/1/23

G2077

10312

Tennessee

$110.45

1/1/23

HCPCS Code G2078

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2078

10112

Alabama

$39.37

1/1/23

G2078

10212

Georgia (ATL)

$39.37

1/1/23

G2078

10212

Georgia (OTHER)

$39.37

1/1/23

G2078

10312

Tennessee

$39.37

1/1/23

HCPCS Code G2079

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2079

10112

Alabama

$80.53

1/1/23

G2079

10212

Georgia (ATL)

$80.53

1/1/23

G2079

10212

Georgia (OTHER)

$80.53

1/1/23

G2079

10312

Tennessee

$80.53

1/1/23

HCPCS Code G2080

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2080

10112

Alabama

$31.06

1/1/23

G2080

10212

Georgia (ATL)

$33.25

1/1/23

G2080

10212

Georgia (OTHER)

$31.45

1/1/23

G2080

10312

Tennessee

$30.99

1/1/23

HCPCS Code G2215

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2215

10112

Alabama

$78.44

1/1/23

G2215

10212

Georgia (ATL)

$78.62

1/1/23

G2215

10212

Georgia (OTHER)

$78.48

1/1/23

G2215

10312

Tennessee

$78.44

1/1/23

HCPCS Code G2216

Code

Carrier #

Locality Name

Fee

Effective for Dates of Service

G2216

10112

Alabama

$12.06

1/1/23

G2216

10212

Georgia (ATL)

$12.39

1/1/23

G2216

10212

Georgia (OTHER)

$12.07

1/1/23

G2216

10312

Tennessee

$12.10

1/1/23

Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.


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