J0572 HCPCS Level II Code: Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine
Medicare Coverage & Payment
- CMS short descriptor: Bupren/nal up to 3mg bupreno
- Medicare coverage: Special coverage instructions apply (CMS coverage code D)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: O1E — Other drugs
- Last CMS action effective: January 1, 2016
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Change history
- January 1, 2015Added to the code setBuprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine
Contextual Map
Every relationship of J0572 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (35)
- J0500 — Injection, dicyclomine hcl, up to 20 mg[Sibling]
- J0515 — Injection, benztropine mesylate, per 1 mg[Sibling]
- J0517 — Injection, benralizumab, 1 mg[Sibling]
- J0520 — Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg[Sibling]
- J0525 — Injection, cefotetan disodium, 10 mg[Sibling]
- J0528 — Injection, fosfomycin disodium, 20 mg[Sibling]
- J0558 — Injection, penicillin g benzathine and penicillin g procaine, 100,000 units[Sibling]
- J0561 — Injection, penicillin g benzathine, 100,000 units[Sibling]
- and 27 more
Change history
- January 1, 2015 — Added to the code set [Change history]
Nearest Codes in This Family
Official HCPCS Level II classifications closest to J0572 in its code family, with their registry titles.
- J0561 — Injection, penicillin g benzathine, 100,000 units
- J0565 — Injection, bezlotoxumab, 10 mg
- J0567 — Injection, cerliponase alfa, 1 mg
- J0570 — Buprenorphine implant, 74.2 mg
- J0571 — Buprenorphine, oral, 1 mg
- J0573 — Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine
- J0574 — Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine
- J0575 — Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine
- J0576 — Injection, buprenorphine extended-release (brixadi), 1 mg
- J0577 — Injection, buprenorphine extended-release (brixadi), less than or equal to 7 days of therapy