CMS reacts to opioid crisis with new codes for OUD treatment, bundled payments

Why This Topic Matters

The changes affect how opioid use disorder services are reported and reimbursed under Medicare beginning in 2020, so facilities and practices need to know which service categories were added and how the payment structure is shifting.

Article Sections

1. Physician Fee Schedule

   Introduces the Medicare physician fee schedule context for the 2020 changes and frames the article’s focus on opioid treatment and related services.

2. Taking a closer look

   Summarizes the new Medicare billing categories for office-based opioid use disorder treatment and the broader bundled-payment approach for opioid treatment programs.

3. Keep the services separate

   Discusses documentation and billing considerations when multiple sources of counseling or therapy may occur during the same time period.