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MedicaidBilling CodesMedium impact

Substance Use Disorder Behavioral Health Fee Schedule Update: J0570 Deletion

Oregon Health Plan·OR · Psychiatry, Internal Medicine, Family Medicine·Provider
Effective date
Dec 31, 2024
We identified it
Jun 20, 2026
Days to comply

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.

Action Required

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

Affected Billing Codes

J0570