Resource Center: Billing

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Improving Access to Buprenorphine
Description: 
This is an article written by CIGNA Behavioral Health's (CBH) Senior Medical Director. It describes how CIGNA addressed reimbursement, a major barrier to physician prescription of buprenorphine, by identifying an HCPCS code (H0033) that physicians can use to bill for the services provided during buprenorphine induction visits.
Source: 
Nemecek, Doug. Behavioral Healthcare: November 2007.
4.333335
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TIP 45. Detoxification and Substance Abuse Treatment. Chapter 6: Financing and Organizational Issues
Description: 
This chapter of the TIP 45 discusses funding, resources, organization and patient contracts in substance abuse treatment.
Source: 
Substance Abuse and Mental Health Services Administration (SAMHSA)
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The Medicare Coverage Database
Description: 
This database allows physicians to search for local Medicare policies and relevant articles.
Source: 
US Department of Health and Human Services
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PCSS-B Guidance: Billing for OBOT
Description: 
This clinical guidance from the PCSS-B provides a list of commonly used CPT codes for buprenorphine induction and maintenance. Information is includes for both psychiatrists and non-psychiatrist physicians.
Source: 
PCSS-Buprenorphine
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PCSS-B Guidance: Physician Billing For Office-Based Treatment of Opioid Dependence
Description: 
This clinical guidance provides information on billing services for office-based opioid treatment, including CPT codes for both psychiatrists and primary care providers.
Source: 
Physician Clinical Support System (PCSS)
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Billing for Office-Based Opioid Treatment

Description: 
This page provides the most commonly used billing codes for office-based buprenorphine treatment.

Physicians who wish to go through a patient's health insurance, as opposed to fee for service, often have questions on how the various services involved in buprenorphine treatment should be billed.

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Commonly Used CPT Codes – Primary Care (PDF)
Description: 
PDF of Commonly Used CPT Codes in Primary Care
Source: 
Clinical Tools, Inc.
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PCSS Clinical Guidances: An Educational Resource for Those Treating Patients with Opioid Dependence
Description: 
This website, funded by SAMHSA, is designed to help physicians to implement office-based buprenorphine treatment using a national network of trained physician mentors.
Source: 
Physician Clinical Support System (PCSS)
5
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Formulary Finder for Prescription Drug Plans
Description: 
This is a database that allows users to search Medicare Prescription Coverage and Medicare Advantage Prescription Drug Plans by State.
Source: 
Department of Health and Human Services
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Commonly Used CPT and HCPCS Codes for Screening Potential Buprenorphine Patients

Description: 
The billing codes that can be used for screening and initial contact with your buprenorphine patients.

Current Procedural Terminology (CPT) Codes used for Buprenorphine Screening

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