G2080 HCPCS code: Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

G2080 is the HCPCS Level II code for each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure. In 2024 Medicare paid an average of $34.77 per service for G2080 across 4,011 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 46% from 2022 to 2024 (7,439 to 4,011 services). In 2024, about 56 clinicians billed Medicare for G2080 for 463 beneficiaries; California, Delaware, Michigan accounted for 66% of services.

Code details

FieldValue
SectionG codes — Procedures and professional services (temporary)
Coverage codeC — Carrier judgment
Pricing indicator13
BETOS categoryM5D
Added2020-01-01
Last action effective2020-01-01

Who bills G2080 (2024)

MeasureValue
Clinicians billing (by place of service)56
Medicare beneficiaries463
States with claims11
Share of services in top 3 states (California, Delaware, Michigan)66%

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for G2080, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
20227,4391,068$32.56$32.21
20233,483579$33.84$33.45
20244,011463$35.04$34.77

States with the most G2080 services (2024)

StateServicesAvg. paid
California1,334$37.31
Delaware903$33.10
Michigan367$33.11
Minnesota326$30.32
Maryland230$35.44

Medicare policy articles for this code

Covered diagnoses (39 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

ICD-10-CMDiagnosisArticles listing it
F11.10Opioid abuse, uncomplicated1
F11.11Opioid abuse, in remission1
F11.120Opioid abuse with intoxication, uncomplicated1
F11.121Opioid abuse with intoxication delirium1
F11.122Opioid abuse with intoxication with perceptual disturbance1
F11.13Opioid abuse with withdrawal1
F11.14Opioid abuse with opioid-induced mood disorder1
F11.150Opioid abuse with opioid-induced psychotic disorder with delusions1
F11.151Opioid abuse with opioid-induced psychotic disorder with hallucinations1
F11.181Opioid abuse with opioid-induced sexual dysfunction1

Showing 10 of 39. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for G2080

Frequently asked questions

What is HCPCS code G2080?

G2080 is the HCPCS Level II code for each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure. Short descriptor: "Add 30 mins counsel".

How much does Medicare pay for G2080?

In 2024, the average Medicare payment was $34.77 per service (average allowed $35.04).

Does Medicare cover G2080?

Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.

Which diagnoses support coverage for G2080?

Medicare policy articles that cite G2080 list 39 covered ICD-10-CM diagnosis codes across 1 article. The most cited include F11.10 (Opioid abuse, uncomplicated), F11.11 (Opioid abuse, in remission), F11.120 (Opioid abuse with intoxication, uncomplicated). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

Related G20 codes

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Next steps

Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.

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