HCPCS G2086: Opioid treatmentMedicare rate & RVUs in Oregon
Reports the monthly office-based opioid use disorder treatment package when qualifying treatment activities total at least 70 minutes in the initial calendar month.
Medicare pays $484.41–$511.74 for G2086 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What G2086 covers
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.
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.
Where G2086 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $511.74 | $368.87 |
| Rest Of Oregon | $484.41 | $356.33 |
How the G2086 rate is calculated
Each of G2086’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G2086
RVUs × geographic indexes × conversion factor
Work8.36
8.36 RVUs× 1.000 GPCI
Practice expense5.73
5.73 RVUs× 1.000 GPCI
Malpractice0.62
0.62 RVUs× 1.000 GPCI
Adjusted RVUs
14.7100
Conversion factor
$33.4009
Medicare rate
$491.33
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G2086
G2086 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · G2086
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$491.33
- Non-facility (office)
- $491.33
- Facility
- $362.73
Higher because the practice carries its own overhead.
G2086 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- G2087Opioid treatment
- 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.
- G2088Opioid treatment
- G2088 reports additional qualifying treatment time beyond a base monthly service; it does not replace G2086 for the initial month.
- G2068Med assist tx bupre oral
- G2068 is an opioid treatment program bundle involving oral buprenorphine treatment. G2086 represents office-based treatment over the initial calendar month.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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