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OPT Billing Payment Overview

Guidance for This guidance provides new OPT billing information for CY 2021.

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

New covered services include FDA-approved opioid antagonist medications, specifically naloxone, for emergency treatment of opioid overdose, as well as overdose education

  • New codes for nasal and injectable naloxone
  • OTPs may conduct periodic assessments via two-way interactive audio-video communication technology
  • HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the guidance@hhs.gov.

    DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.