G2076 : HCPCS Code (2025) : JSON

G2076 : 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 social determinants of health risk assessment to identify unmet health-related social needs, 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, 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 ( Intake act w/med exam )

HCPCS Code : G2076 – JSON Data Format

                    
{
  "HCPCS": {
    "HCPC": "G2076",
    "LongDescription": "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 social determinants of health risk assessment to identify unmet health-related social needs, 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, 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",
    "ShortDescription": "Intake act w/med exam",
    "PricingIndicators": {
      "PricingIndicator": {
        "PricingIndicatorName": "13",
        "PricingIndicatorCode": "Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion). Linked To The Physician Fee Schedule."
      }
    },
    "MPI": "A",
    "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
    "CIMs": null,
    "MCMs": "",
    "Statute": null,
    "LabCertifications": null,
    "XReferences": null,
    "Coverage": "C",
    "CoverageDescription": "Carrier judgment",
    "ASCPayGrp": null,
    "ASCPayGrpEffDate": null,
    "MOGPayGrp": null,
    "MOGPaymentGroupCode": null,
    "MOGPayInd": null,
    "MOGPaymentPolicyIndicator": null,
    "MOGEffDate": null,
    "ProcNote": null,
    "BETOS": "M5D",
    "BETOSDescription": "Specialist - other",
    "TypeOfServices": {
      "TypeOfService": {
        "TOS": "1",
        "TypeOfServiceCode": "Medical care"
      }
    },
    "AnestBaseUnits": "0",
    "CodeAddDate": "20200101",
    "ActionEffDate": "20250101",
    "TermDate": null,
    "ActionCode": "N",
    "ActionCodeDescription": "No maintenance for this code"
  }
}