G2067 Insurance Policy Changes

HCPCS G2067 is officially defined as "Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program)." HCPCS G2067 is referenced in 4 tracked payer policy changes from Health Net, Aetna, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS G2067 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.