J0573 Bupren/nal 3.1 to 6mg bupren
Also known as: buprenorphine/naloxone, Suboxone, bup/nal mid-dose
Buprenorphine/naloxone combination oral, 3.1 to 6 milligrams buprenorphine, for sublingual administration in opioid use disorder treatment.
In Plain Language
higher-strength addiction treatment tablet; opioid replacement combination
Clinical Context
Higher-dose combination formulation for patients requiring increased buprenorphine levels (3.1-6 mg) to prevent withdrawal and cravings. Standardized maintenance dosing typically between these ranges.
RVU Information
CPT J0573 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J0573?
CPT J0573 (Bupren/nal 3.1 to 6mg bupren) is a J Codes (Drugs) code. Buprenorphine/naloxone combination oral, 3.1 to 6 milligrams buprenorphine, for sublingual administration in opioid use disorder treatment.
How is J0573 administered?
CPT J0573 is administered by a healthcare provider, typically via injection or infusion. Higher-dose combination formulation for patients requiring increased buprenorphine levels (3.1-6 mg) to prevent withdrawal and cravings. Standardized maintenance dosing typically between these ranges. It is used by addiction medicine, primary care, psychiatry.
When is CPT J0573 used?
Higher-dose combination formulation for patients requiring increased buprenorphine levels (3.1-6 mg) to prevent withdrawal and cravings. Standardized maintenance dosing typically between these ranges.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.