List With HCPCS Codes For Pharmacotherapy for OUD

The HCPCS codes for Pharmacotherapy for OUD (Opioid Use Disorder) provide a standardized way to identify and bill for different aspects of medication-assisted treatment for individuals with OUD.

1. HCPCS Code M1032

HCPCS code M1032 is used to identify adults who are currently taking pharmacotherapy for OUD.

2. HCPCS Code M1034

HCPCS code M1034 is used to identify adults who have been on continuous pharmacotherapy for OUD for at least 180 days without a gap of more than seven days.

3. HCPCS Code M1035

HCPCS code M1035 is used to identify adults who are deliberately phased out of medication-assisted treatment (MAT) prior to completing 180 days of continuous treatment.

4. HCPCS Code M1036

HCPCS code M1036 is used to identify adults who have not had at least 180 days of continuous pharmacotherapy for OUD without a gap of more than seven days.

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