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HCPCS G2087 · Level II · G code

G2087: Office-based treatment for opioid use disorder, including care coordination, HCPCS Level II G code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Key facts for G2087

Medicare payment
$443.23
PFS non-facility, national; facility $345.03
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Practitioner MUE
2
MAI 3
OPPS status
SI S
Procedure or service, not discounted when multiple
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0
on the Medicare telehealth list

TL;DR

CMS describes HCPCS G2087, added in 2020, as "Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month". Under the 2026 physician fee schedule (October release) G2087 carries 8.19 work, 4.53 practice-expense and 0.55 malpractice RVUs, which at $33.4009 per RVU pays $443.23 non-facility and $345.03 facility before the locality adjustment. Qualifying APM participants get $445.44 at $33.5675. Its 2026 Q4 MUEs per date of service: practitioner 2 (MAI 3, Clinical: Data); hospital outpatient 2 (MAI 3, Clinical: CMS Workgroup). G2087 is a primary code for 1 add-on code (G2088). No current LCD or billing article lists G2087; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage). It is on the CY2026 Medicare telehealth list (CMS action: Maintain). HCPCS record: BETOS M5D (specialist - other); pricing indicator 13; type of service 1 (medical care). 2 other active codes open with "Office-based treatment for opioid use disorder"; related codes: G2086, G2088, G2083, G2082.

G2087 descriptor and code status

The October 2026 HCPCS Level II file describes G2087 as “Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes. Although searches often call it the "G2087 CPT code", G2087 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of G2087
FieldValue
Short descriptorOff base opioid tx, 60 m
Added to HCPCS2020-01-01
Last actionN (no maintenance), effective 2020-01-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator13: physician fee schedule, priced by the contractor
BETOS categoryM5D: specialist - other
Type of service1: medical care

Medicare payment for G2087

Under the 2026 physician fee schedule (October release) G2087 carries 8.19 work, 4.53 practice-expense and 0.55 malpractice RVUs, which at $33.4009 per RVU pays $443.23 non-facility and $345.03 facility before the locality adjustment. Qualifying APM participants get $445.44 at $33.5675. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status A: active: paid separately under the physician fee schedule when covered. Global period XXX (global surgery concept does not apply); PC/TC indicator 0 (physician service; the professional/technical split does not apply).

PFS relative values and national payment for G2087
ComponentNon-facilityFacility
Work RVU8.198.19
Practice expense RVU4.531.59
Malpractice RVU0.550.55
Total RVUs13.2710.33
National payment (CF $33.4009)$443.23$345.03
Qualifying APM participant (CF $33.5675)$445.44$346.75
  • Multiple procedures (modifier 51): no multiple-procedure reduction
  • Bilateral (modifier 50): 150% bilateral adjustment does not apply
  • Assistant at surgery: assistant at surgery paid only with documentation; co-surgeons: co-surgeons not permitted; team surgery: team surgeons not permitted
  • Physician supervision of diagnostic procedures: supervision concept does not apply

Hospital outpatient (OPPS Addendum B)

Status indicator S (Procedure or service, not discounted when multiple), APC 5823 (Level 3 Health and Behavior Services), national unadjusted payment $181.34 with a minimum unadjusted copayment of $36.27.

Medically Unlikely Edits for G2087

Its 2026 Q4 MUEs per date of service: practitioner 2 (MAI 3, Clinical: Data); hospital outpatient 2 (MAI 3, Clinical: CMS Workgroup). The practitioner MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for G2087 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services23 Date of Service Edit: ClinicalClinical: Data
Facility outpatient hospital23 Date of Service Edit: ClinicalClinical: CMS Workgroup

The MUE lookup for G2087 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists G2087 in v323r0.

G2087 is a designated primary code for 1 add-on code (G2088).

Pair counts show exposure, not the answer for one claim. Check G2087 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for G2087

No current LCD or billing and coding article lists G2087. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Telehealth status

G2087 is on the CY2026 Medicare telehealth services list (CMS action: Maintain). Bill it with the place-of-service code and modifiers that match where the patient and the practitioner are on the date of service.

Denials to expect on G2087

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of G2087 exceed the practitioner MUE of 2 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks the description, invoice or pricing detail a contractor-priced code needs

Where QuickIntell fits for G2087 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G2087 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS G2087

What does HCPCS code G2087 describe?

"Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month" (short descriptor "Off base opioid tx, 60 m"), in the G section (procedures and professional services, temporary). Added 2020-01-01.

Is G2087 a CPT code?

No. G2087 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set. Searches for "G2087 CPT code" mean this Level II code.

What does Medicare pay for G2087?

Under the 2026 physician fee schedule (October release) G2087 carries 8.19 work, 4.53 practice-expense and 0.55 malpractice RVUs, which at $33.4009 per RVU pays $443.23 non-facility and $345.03 facility before the locality adjustment. Qualifying APM participants get $445.44 at $33.5675.

Is G2087 an add-on code?

G2087 is a primary code for 1 add-on code (G2088).

How many units of G2087 can be billed per day?

Its 2026 Q4 MUEs per date of service: practitioner 2 (MAI 3, Clinical: Data); hospital outpatient 2 (MAI 3, Clinical: CMS Workgroup). For the practitioner MUE (MAI 3), units above 2 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover G2087?

No current LCD or billing article lists G2087; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage).

Can G2087 be billed as telehealth?

Yes. G2087 is on the CY2026 Medicare telehealth list (Maintain); the place-of-service and modifier rules on the date of service still apply.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.