Is G2087 covered for telehealth? (Medicare)
G2087 (office-based opioid treatment, 60 minutes) appears on Medicare's list of approved telehealth services. Being on this list means Medicare may reimburse the service when delivered via telehealth, subject to the place-of-service and modifier rules shown here.
How to bill it
Bill G2087 with a place-of-service code of 02 or 10, depending on where the patient is located during the encounter, and append modifier 95 to indicate the service was furnished via telehealth. Confirm which POS applies to your specific visit setup before submitting the claim. POS reference → · modifier reference →
Audio-only
Medicare's list of telehealth services doesn't specify audio-only eligibility for this code. Audio-only is permitted for a number of services (notably behavioral and mental-health care); confirm against current CMS guidance and your payer before billing audio-only.
Frequently asked
What's the difference between POS 02 and POS 10 for G2087?
POS 02 generally indicates the patient was not located in their home for the telehealth service, while POS 10 indicates the patient was in their home. Choose the code that reflects the patient's actual location at the time of service.
Does this Medicare coverage apply to commercial or Medicaid plans?
No. This reference reflects Medicare's telehealth coverage rules only. Commercial payers and state Medicaid programs may have different covered-code lists, POS requirements, and modifier rules, so eligibility must be verified separately with each payer.
Is modifier 95 always required for G2087 under Medicare?
The modifier guidance shown here indicates modifier 95 should be used to identify the service as telehealth. Confirm current requirements with your MAC, since modifier rules can be updated.
More free billing tools: all telehealth codes · telehealth checker · Medicare fee for G2087 · place of service · modifiers
Reflects Medicare's list of telehealth services for this year; audio-only, POS and modifier rules can change. Commercial and Medicaid telehealth coverage differ — verify current CMS guidance and your payer's rules before billing.
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