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CMS RVU26D · Effective 2026-10-01

G2086 in Delaware

Office / nonfacility

$488.34

Base rate per service

Facility setting

$361.28

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Substance use treatment

About G2086: Initial-month office-based opioid treatment

Reports the monthly office-based opioid use disorder treatment package when qualifying treatment activities total at least 70 minutes in the initial calendar month.

G2086 represents the monthly office-based treatment package for a patient receiving care for opioid use disorder during the initial calendar month. The work may include treatment planning, coordination with other clinicians or support services, psychotherapy, counseling, and medication-related management. It is used by clinicians providing outpatient OUD care outside an opioid treatment program, such as a physician or other qualified practitioner in an office setting.

Report G2086 when qualifying services total at least 70 minutes during that first calendar month; the time is accumulated across qualifying activities, not counted separately for each visit. Documentation should identify the treatment activities, dates, practitioners involved, and total time supporting the monthly threshold. G2087 is the corresponding base service for a subsequent calendar month, while G2088 may be reported for qualifying additional treatment time beyond the base service.

Where the value comes from

  • Work RVU8.36 · 57%
  • Practice expense (office) RVU5.73 · 39%
  • Malpractice RVU0.62 · 4%

1.1K

Medicare services in 2024 · #2876 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

G2086 compared with similar codes

Office rates for Delaware, from the same CMS release.

G2087

Opioid treatment

Subsequent month, 60 minutes

$440.93

Use G2086 for the initial calendar month of office-based OUD treatment; G2087 is for a subsequent month and uses a different minimum-time threshold.

G2088

Opioid treatment

Each additional 30 minutes

$60.38

G2088 reports additional qualifying treatment time beyond a base monthly service; it does not replace G2086 for the initial month.

G2068

Med assist tx bupre oral

No office rate

G2068 is an opioid treatment program bundle involving oral buprenorphine treatment. G2086 represents office-based treatment over the initial calendar month.

The same code, a different location

How does Delaware compare?

G2086 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $488.34

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $530.84

    $42.50 higher than Delaware

  3. Dc + Md/Va Suburbs

    $542.81

    $54.47 higher than Delaware

  4. Miami

    $530.84

    $42.50 higher than Delaware

  5. Chicago

    $521.06

    $32.72 higher than Delaware

  6. Manhattan

    $552.34

    $64.00 higher than Delaware

  7. Alaska*

    $634.09

    $145.75 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, G2086 ranges from $454.30 in Arkansas to $634.09 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · G2086

    Office

    $458.42

    Facility

    $345.90

    $29.92 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · G2086

    Office

    $454.30

    Facility

    $343.84

    $34.04 lower than Delaware for the office setting.

  • Arizona

    Arizona · G2086

    Office

    $482.41

    Facility

    $357.81

    $5.93 lower than Delaware for the office setting.

  • Bakersfield

    California · G2086

    Office

    $506.91

    Facility

    $365.97

    $18.57 higher than Delaware for the office setting.

  • Chico

    California · G2086

    Office

    $504.84

    Facility

    $363.90

    $16.50 higher than Delaware for the office setting.

  • El Centro

    California · G2086

    Office

    $504.94

    Facility

    $364.00

    $16.60 higher than Delaware for the office setting.

  • Fresno

    California · G2086

    Office

    $504.84

    Facility

    $363.90

    $16.50 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · G2086

    Office

    $504.84

    Facility

    $363.90

    $16.50 higher than Delaware for the office setting.

  • Madera

    California · G2086

    Office

    $504.84

    Facility

    $363.90

    $16.50 higher than Delaware for the office setting.

  • Merced

    California · G2086

    Office

    $504.84

    Facility

    $363.90

    $16.50 higher than Delaware for the office setting.

  • Modesto

    California · G2086

    Office

    $504.84

    Facility

    $363.90

    $16.50 higher than Delaware for the office setting.

  • Napa

    California · G2086

    Office

    $559.59

    Facility

    $390.11

    $71.25 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G2086

    Office

    $526.17

    Facility

    $374.17

    $37.83 higher than Delaware for the office setting.

  • Redding

    California · G2086

    Office

    $504.84

    Facility

    $363.90

    $16.50 higher than Delaware for the office setting.

  • Rest Of California

    California · G2086

    Office

    $504.84

    Facility

    $363.90

    $16.50 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G2086

    Office

    $511.68

    Facility

    $370.74

    $23.34 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · G2086

    Office

    $522.97

    Facility

    $373.41

    $34.63 higher than Delaware for the office setting.

  • Salinas

    California · G2086

    Office

    $520.81

    Facility

    $371.77

    $32.47 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G2086

    Office

    $527.73

    Facility

    $373.93

    $39.39 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G2086

    Office

    $585.12

    Facility

    $403.80

    $96.78 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · G2086

    Office

    $584.42

    Facility

    $403.10

    $96.08 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · G2086

    Office

    $597.03

    Facility

    $411.60

    $108.69 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · G2086

    Office

    $594.15

    Facility

    $408.72

    $105.81 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · G2086

    Office

    $513.07

    Facility

    $366.60

    $24.73 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · G2086

    Office

    $528.73

    Facility

    $372.49

    $40.39 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · G2086

    Office

    $521.31

    Facility

    $371.37

    $32.97 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · G2086

    Office

    $533.73

    Facility

    $375.82

    $45.39 higher than Delaware for the office setting.

  • Stockton

    California · G2086

    Office

    $504.84

    Facility

    $363.90

    $16.50 higher than Delaware for the office setting.

  • Vallejo

    California · G2086

    Office

    $558.58

    Facility

    $389.09

    $70.24 higher than Delaware for the office setting.

  • Visalia

    California · G2086

    Office

    $504.84

    Facility

    $363.90

    $16.50 higher than Delaware for the office setting.

  • Yuba City

    California · G2086

    Office

    $504.84

    Facility

    $363.90

    $16.50 higher than Delaware for the office setting.

  • Colorado

    Colorado · G2086

    Office

    $502.39

    Facility

    $365.57

    $14.05 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · G2086

    Office

    $516.00

    Facility

    $377.50

    $27.66 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · G2086

    Office

    $510.55

    Facility

    $380.28

    $22.21 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · G2086

    Office

    $493.32

    Facility

    $370.39

    $4.98 higher than Delaware for the office setting.

  • Atlanta

    Georgia · G2086

    Office

    $499.39

    Facility

    $368.74

    $11.05 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · G2086

    Office

    $474.63

    Facility

    $359.93

    $13.71 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · G2086

    Office

    $508.83

    Facility

    $362.62

    $20.49 higher than Delaware for the office setting.

  • Iowa

    Iowa · G2086

    Office

    $462.57

    Facility

    $344.91

    $25.77 lower than Delaware for the office setting.

  • Idaho

    Idaho · G2086

    Office

    $465.10

    Facility

    $346.80

    $23.24 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · G2086

    Office

    $497.01

    Facility

    $378.71

    $8.67 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · G2086

    Office

    $486.34

    Facility

    $368.93

    $2.00 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · G2086

    Office

    $514.44

    Facility

    $382.37

    $26.10 higher than Delaware for the office setting.

  • Indiana

    Indiana · G2086

    Office

    $466.71

    Facility

    $347.51

    $21.63 lower than Delaware for the office setting.

  • Kansas

    Kansas · G2086

    Office

    $462.68

    Facility

    $346.43

    $25.66 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · G2086

    Office

    $468.32

    Facility

    $354.00

    $20.02 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · G2086

    Office

    $482.85

    Facility

    $361.85

    $5.49 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · G2086

    Office

    $468.45

    Facility

    $354.64

    $19.89 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · G2086

    Office

    $537.63

    Facility

    $384.09

    $49.29 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G2086

    Office

    $501.73

    Facility

    $366.33

    $13.39 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G2086

    Office

    $514.67

    Facility

    $376.69

    $26.33 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · G2086

    Office

    $494.72

    Facility

    $364.58

    $6.38 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · G2086

    Office

    $468.19

    Facility

    $349.88

    $20.15 lower than Delaware for the office setting.

  • Southern Maine

    Maine · G2086

    Office

    $481.96

    Facility

    $354.53

    $6.38 lower than Delaware for the office setting.

  • Detroit

    Michigan · G2086

    Office

    $498.83

    Facility

    $374.74

    $10.49 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · G2086

    Office

    $477.35

    Facility

    $359.94

    $10.99 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · G2086

    Office

    $482.30

    Facility

    $349.98

    $6.04 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · G2086

    Office

    $479.18

    Facility

    $358.43

    $9.16 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · G2086

    Office

    $482.18

    Facility

    $359.76

    $6.16 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · G2086

    Office

    $464.38

    Facility

    $353.53

    $23.96 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · G2086

    Office

    $459.32

    Facility

    $348.60

    $29.02 lower than Delaware for the office setting.

  • Montana**

    Montana · G2086

    Office

    $491.29

    Facility

    $362.69

    $2.95 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · G2086

    Office

    $471.03

    Facility

    $351.05

    $17.31 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · G2086

    Office

    $479.03

    Facility

    $350.43

    $9.31 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · G2086

    Office

    $463.71

    Facility

    $345.02

    $24.63 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · G2086

    Office

    $496.59

    Facility

    $362.72

    $8.25 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · G2086

    Office

    $540.95

    Facility

    $391.78

    $52.61 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · G2086

    Office

    $522.11

    Facility

    $381.69

    $33.77 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · G2086

    Office

    $479.60

    Facility

    $361.68

    $8.74 lower than Delaware for the office setting.

  • Nevada**

    Nevada · G2086

    Office

    $488.06

    Facility

    $359.34

    $0.28 lower than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · G2086

    Office

    $563.12

    Facility

    $410.22

    $74.78 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G2086

    Office

    $526.42

    Facility

    $385.61

    $38.08 higher than Delaware for the office setting.

  • Queens

    New York · G2086

    Office

    $553.18

    Facility

    $401.19

    $64.84 higher than Delaware for the office setting.

  • Rest Of New York

    New York · G2086

    Office

    $475.61

    Facility

    $353.44

    $12.73 lower than Delaware for the office setting.

  • Ohio

    Ohio · G2086

    Office

    $474.84

    Facility

    $357.44

    $13.50 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · G2086

    Office

    $466.23

    Facility

    $351.40

    $22.11 lower than Delaware for the office setting.

  • Portland

    Oregon · G2086

    Office

    $511.74

    Facility

    $368.87

    $23.40 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · G2086

    Office

    $484.41

    Facility

    $356.33

    $3.93 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G2086

    Office

    $508.20

    Facility

    $374.33

    $19.86 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G2086

    Office

    $474.49

    Facility

    $356.45

    $13.85 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · G2086

    Office

    $493.12

    Facility

    $363.11

    $4.78 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · G2086

    Office

    $500.71

    Facility

    $367.87

    $12.37 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · G2086

    Office

    $473.68

    Facility

    $354.86

    $14.66 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · G2086

    Office

    $477.58

    Facility

    $348.98

    $10.76 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · G2086

    Office

    $464.32

    Facility

    $347.43

    $24.02 lower than Delaware for the office setting.

  • Austin

    Texas · G2086

    Office

    $500.63

    Facility

    $364.57

    $12.29 higher than Delaware for the office setting.

  • Beaumont

    Texas · G2086

    Office

    $472.63

    Facility

    $355.61

    $15.71 lower than Delaware for the office setting.

  • Brazoria

    Texas · G2086

    Office

    $487.28

    Facility

    $359.85

    $1.06 lower than Delaware for the office setting.

  • Dallas

    Texas · G2086

    Office

    $490.13

    Facility

    $362.06

    $1.79 higher than Delaware for the office setting.

  • Fort Worth

    Texas · G2086

    Office

    $488.49

    Facility

    $361.70

    $0.15 higher than Delaware for the office setting.

  • Galveston

    Texas · G2086

    Office

    $488.66

    Facility

    $360.97

    $0.32 higher than Delaware for the office setting.

  • Houston

    Texas · G2086

    Office

    $500.01

    Facility

    $372.31

    $11.67 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · G2086

    Office

    $479.56

    Facility

    $357.52

    $8.78 lower than Delaware for the office setting.

  • Utah

    Utah · G2086

    Office

    $477.73

    Facility

    $356.85

    $10.61 lower than Delaware for the office setting.

  • Virginia

    Virginia · G2086

    Office

    $481.99

    Facility

    $355.58

    $6.35 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · G2086

    Office

    $493.12

    Facility

    $363.11

    $4.78 higher than Delaware for the office setting.

  • Vermont

    Vermont · G2086

    Office

    $479.18

    Facility

    $351.88

    $9.16 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · G2086

    Office

    $500.15

    Facility

    $364.74

    $11.81 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · G2086

    Office

    $544.94

    Facility

    $387.16

    $56.60 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · G2086

    Office

    $468.96

    Facility

    $345.77

    $19.38 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · G2086

    Office

    $475.18

    Facility

    $363.43

    $13.16 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · G2086

    Office

    $485.94

    Facility

    $357.35

    $2.40 lower than Delaware for the office setting.

See how rates vary across the country

G2086 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$454.30

$634.09

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$634.091
AL$458.421
AR$454.301
AZ$482.411
CA$504.84–$597.0329
CO$502.391
CT$516.001
DC$542.811
DE$488.341
FL$493.32–$530.843
GA$474.63–$499.392
GU$508.831
HI$508.831
IA$462.571
ID$465.101
IL$486.34–$521.064
IN$466.711
KS$462.681
KY$468.321
LA$468.45–$482.852
MA$501.73–$537.632
MD$494.72–$542.813
ME$468.19–$481.962
MI$477.35–$498.832
MN$482.301
MO$464.38–$482.183
MS$459.321
MT$491.291
NC$471.031
ND$479.031
NE$463.711
NH$496.591
NJ$522.11–$540.952
NM$479.601
NV$488.061
NY$475.61–$563.125
OH$474.841
OK$466.231
OR$484.41–$511.742
PA$474.49–$508.202
PR$493.121
RI$500.711
SC$473.681
SD$477.581
TN$464.321
TX$472.63–$500.638
UT$477.731
VA$481.99–$542.812
VI$493.121
VT$479.181
WA$500.15–$544.942
WI$468.961
WV$475.181
WY$485.941

Explore G2086 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For G2086 in Delaware, the physician’s office rate is $488.34 and the facility-setting rate is $361.28: a difference of $127.06.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for G2086 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$537.17

$488.34 × 110% = $537.17

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G2086 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

15,441

Code
G2086
Physician work
8.36
Practice expense
5.73
Malpractice
0.62

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for G2086 in Delaware
ComponentRVULocality factorAdjusted
Physician work8.36× 1.0058.4018
Practice expense5.73× 0.9885.6612
Malpractice0.62× 0.8990.5574
Total RVUs14.6204
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$488.34

Open G2086 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work8.361.005
Practice expense5.730.988
Malpractice0.620.899

(8.36 × 1.005 + 5.73 × 0.988 + 0.62 × 0.899) × $33.4009 = $488.34

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work8.361.005
Practice expense1.880.988
Malpractice0.620.899

(8.36 × 1.005 + 1.88 × 0.988 + 0.62 × 0.899) × $33.4009 = $361.28

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

G2086 · Office / nonfacility

$488.34

Effective 2026-10-01

The base rate is $33.73 higher than on 2025-10-01, moving from $454.61 to $488.34 (7.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $454.61changed to$488.34

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 5.10 changed to 5.73
    • Malpractice RVU 0.59 changed to 0.62
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $454.61

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$488.34$361.28RVU26D
2026-07-01$488.34$361.28RVU26C
2026-04-01$488.34$361.28RVU26B
2026-01-01$488.34$361.28RVU26A
2025-10-01$454.61$395.57RVU25D
2025-07-01$454.61$395.57RVU25C
2025-04-01$454.61$395.57RVU25B
2025-01-01$454.61$395.57RVU25A

G2086 billing questions

How does G2086 differ from G2087?

G2086 applies to the initial calendar month of office-based opioid use disorder treatment and requires at least 70 minutes. G2087 is for a subsequent calendar month and has a 60-minute threshold.

Is G2086 reported once for each treatment visit?

No. It represents qualifying treatment activities accumulated during the initial calendar month, rather than a separate code for each visit.

What documentation supports the time threshold?

Record the qualifying treatment activities, service dates, practitioners involved, and the total time for the month. The record should make clear that the services relate to office-based opioid use disorder treatment.

When is G2088 reported with G2086?

G2088 is the add-on code for qualifying additional treatment time beyond the base monthly service. The documentation must support the additional time reported.

Is G2086 the same as an opioid treatment program bundle?

No. G2086 describes a monthly office-based treatment package; opioid treatment program codes such as G2068 describe a different treatment setting and bundle.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for G2086PPRRVU2026_Oct_nonQPP.csv, line 15,441 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet