HCPCS G2077 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Opioid Use Disorder - Evaluation and Treatment |
| Complexity Level | Low |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Medication Assisted Treatment |
| Setting | Outpatient |
| Medicaid Fee Schedule | View Medicaid rates for G2077 |
National average reimbursement for HCPCS G2077 by major payers:
$89.19
$111.96
$118.44
$158.32
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | G2077 | $234.11 | 1629662267 - BLOOM COLORADO LLC, AFC URGENT CARE GRAND JUNCTION | 862126493 - (CO) BLOOM COLORADO LLC | CO | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $238.63 | 1063741163 - AZTEC URGENT CARE, LLC | 271495988 - (NM) AZTEC URGENT CARE LLC | NM | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $151.03 | 1629662267 - BLOOM COLORADO LLC, AFC URGENT CARE GRAND JUNCTION | 862126493 - (CO) BLOOM COLORADO LLC | CO | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $151.03 | 1629662267 - BLOOM COLORADO LLC, AFC URGENT CARE GRAND JUNCTION | 862126493 - (CO) BLOOM COLORADO LLC | CO | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $151.03 | 1063741163 - AZTEC URGENT CARE, LLC | 271495988 - (NM) AZTEC URGENT CARE LLC | NM | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $151.03 | 1629662267 - BLOOM COLORADO LLC, AFC URGENT CARE GRAND JUNCTION | 862126493 - (CO) BLOOM COLORADO LLC | CO | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $238.63 | 1063741163 - AZTEC URGENT CARE, LLC | 271495988 - (NM) AZTEC URGENT CARE LLC | NM | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $234.11 | 1629662267 - BLOOM COLORADO LLC, AFC URGENT CARE GRAND JUNCTION | 862126493 - (CO) BLOOM COLORADO LLC | CO | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $234.11 | 1629662267 - BLOOM COLORADO LLC, AFC URGENT CARE GRAND JUNCTION | 862126493 - (CO) BLOOM COLORADO LLC | CO | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $234.11 | 1629662267 - BLOOM COLORADO LLC, AFC URGENT CARE GRAND JUNCTION | 862126493 - (CO) BLOOM COLORADO LLC | CO | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $151.03 | 1063741163 - AZTEC URGENT CARE, LLC | 271495988 - (NM) AZTEC URGENT CARE LLC | NM | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $151.03 | 1063741163 - AZTEC URGENT CARE, LLC | 271495988 - (NM) AZTEC URGENT CARE LLC | NM | Urgent Care Clinic/Center (261QU0200X) |
United | G2077 | $151.03 | 1629662267 - BLOOM COLORADO LLC, AFC URGENT CARE GRAND JUNCTION | 862126493 - (CO) BLOOM COLORADO LLC | CO | Urgent Care Clinic/Center (261QU0200X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS G2077 vs. Other Opioid Use Disorder - Evaluation and Treatment Codes
The HCPCS G2077 code is part of the Procedures / Professional Services services used for Opioid Use Disorder - Evaluation and Treatment. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS G2077 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| G2076-HCPCS | Low | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
| G2077-HCPCS | Low | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
| G2078-HCPCS | Low | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2077. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2077 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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