$501.73–$537.63
Use G2086 for the first calendar month of office-based opioid treatment, with at least 70 minutes; G2087 is for a subsequent month, with at least 60 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
G2087 Opioid treatment Medicare reimbursement rates in Massachusetts
Reports office-based opioid use disorder treatment during a subsequent calendar month when the documented treatment services total at least 60 minutes. Compare G2087 office and facility rates across CMS payment localities in Massachusetts.
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.
What does Medicare pay for G2087 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$451.90–$481.78
2 of 2 localities have a supported rate.
Facility setting
$348.49–$364.53
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Substance use treatment
About G2087: Subsequent-month office-based opioid treatment
Reports office-based opioid use disorder treatment during a subsequent calendar month when the documented treatment services total at least 60 minutes.
G2087 represents a monthly office-based treatment service for a patient with opioid use disorder. The work may include maintaining or updating the treatment plan, care coordination, individual or group psychotherapy, and counseling. Physicians and other qualified practitioners typically provide or oversee these services in an office setting. The code reflects the treatment work delivered across the month, rather than a single counseling visit or medication dispensing event.
Report G2087 for a subsequent calendar month when qualifying services total at least 60 minutes. Documentation should identify the month, the services performed, and the time supporting the threshold. The code has work, practice-expense, and malpractice RVUs in the Medicare Physician Fee Schedule, with office and facility practice-expense values represented separately. Additional qualifying time may be reported with G2088 when its requirements are met.
Where the value comes from
- Work RVU8.19 · 62%
- Practice expense (office) RVU4.53 · 34%
- Malpractice RVU0.55 · 4%
18.3K
Medicare services in 2024 · #1185 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.
G2087 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$62.57–$67.88
G2088 represents additional qualifying treatment time beyond the G2087 base service; it does not replace the subsequent-month code.
G2068
No office rateMed assist tx bupre oral
G2068 describes a medication-specific opioid treatment program bundle. G2087 describes office-based treatment services delivered over a subsequent calendar month.
Compare G2087 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$481.78
Facility
$364.53
Rest Of Massachusetts →
Office / nonfacility
$451.90
Facility
$348.49
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G2087 billing questions
How does G2087 differ from G2086?
G2086 is for the first calendar month and requires at least 70 minutes. G2087 is for a subsequent calendar month and requires at least 60 minutes.
Does G2087 represent a single visit?
No. It represents qualifying office-based opioid use disorder treatment across a subsequent calendar month, which may include care coordination, psychotherapy, and counseling.
What time should the record support?
Document at least 60 minutes of qualifying treatment services during the subsequent calendar month, with enough detail to identify the work performed and the month it occurred.
How is additional time reported?
G2088 is the related additional-time code for qualifying treatment beyond the G2087 service. Document the additional work and time separately.
Is G2087 a medication-dispensing code?
No. It represents a monthly office-based treatment service, not the dispensing of a medication. Distinguish it from medication-specific opioid treatment program bundles such as G2068.
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.
15,439G2082,,Visit esketamine 56m or less,A,,0.70,27.75,,0.16,,0.07,28.52,0.93,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,440G2083,,"Visit esketamine, > 56m",A,,0.70,39.83,,0.16,,0.07,40.60,0.93,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,441G2086,,Off base opioid tx 70min,A,,8.36,5.73,,1.88,,0.62,14.71,10.86,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,442G2087,,"Off base opioid tx, 60 m",A,,8.19,4.53,,1.59,,0.55,13.27,10.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,443G2088,,"Off base opioid tx, add30",A,,0.82,0.95,,0.15,,0.05,1.82,1.02,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,444G2090,,Pt 66+ frailty and med dem,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,445G2091,,Pt 66+ frailty and adv ill,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00