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Oregon Health PlanMedicaid · Billing Codes · Provider · OR · Psychiatry, Internal Medicine, Family MedicineMedium impact

Substance Use Disorder Behavioral Health Fee Schedule Update: J0570 Deletion

Act
immediately
Effective date
Dec 31, 2024
Identified
Jun 20, 2026

Summary

Oregon Medicaid has removed billing code J0570 (Buprenorphine implant, 74.2 mg) from their fee schedule, effective December 31, 2024. The code can no longer be billed because the PROBUPHINE implant was discontinued by the FDA in 2020, though other buprenorphine forms remain available.

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What to do

immediately · 3 steps
01Billing team must ensure J0570 (Buprenorphine implant, 74.2 mg) is removed from billing system and cannot be submitted for Oregon Medicaid claims.
02Verify no pending claims contain this code as they will be denied.
03Update provider documentation to reflect alternative buprenorphine options (Subutex, Suboxone, Sublocade) for opioid use disorder treatment.

Codes mentioned

J0570

Original notice

Substance Use Disorder Behavioral Health Fee Schedule Update: J0570 Deletion
oregon.gov · Always check the source before changing claims.
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