Billing and Coding: Opioid Treatment Programs

This article provides billing and coding guidance for opioid treatment programs treating opiate use disorder in non-residential, ambulatory OTP facilities (place of service code 58). It is intended to complement and be used alongside LCD L39849, and claims should reflect POS 58 and comply with the LCD's documentation and coverage requirements.

"Opioid treatment programs (OTPs) providing treatment for opiate use disorder (OUD) in non-residential opioid treatment facilities on an ambulatory basis are addressed by this billing and coding art..."

Sign up to see full coverage criteria, indications, and limitations.