Outpatient Facility Coding Alert - 2021 Issue 2
Part B Payment: Fee Schedule Delivers New Code to Help EDs Collect for MAT
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Article Overview
This premium article reviews a Medicare payment update tied to emergency department delivery of medication assisted treatment and related opioid-use-disorder services. It is intended for coders, billers, and revenue cycle staff who work with ED professional claims or Medicare-enrolled opioid treatment programs and need to understand the scope of the new payment guidance, the relevant code families, and the general reporting context.
Why This Topic Matters
The article highlights a reimbursement change that introduces Medicare-recognized reporting options for services and supplies tied to opioid treatment in the emergency department and OTP settings. It matters for organizations that need to align documentation, claim reporting, and payment workflows with current Medicare guidance.
Article Sections
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Background
Overview of the setting, the service context, and the Medicare policy update that addresses payment for emergency department treatment related to opioid use disorder.
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Check These New Supply Codes
Discussion of additional Medicare reporting options for naloxone-related supplies and the provider setting in which they apply.
What You Will Learn
- How Medicare payment guidance affects emergency department treatment of opioid use disorder
- Which broad code families are discussed for ED professional claims and OTP-related supply reporting
- What types of services and settings are covered by the article
- How the article frames documentation and billing context at a high level
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Emergency department administrators
- Medicare-participating opioid treatment program staff
Codes Discussed
Code Ranges Discussed
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