J0574 Bupren/nal 6.1 to 10mg bupre
Also known as: buprenorphine/naloxone, Suboxone, bup/nal high-dose
Buprenorphine/naloxone combination oral, 6.1 to 10 milligrams buprenorphine, for sublingual administration in opioid use disorder treatment.
In Plain Language
high-strength addiction treatment tablet; intensive opioid replacement
Clinical Context
High-dose combination formulation for patients with opioid use disorder requiring 6.1-10 mg buprenorphine for adequate maintenance therapy. Used in more severe addiction cases or those previously treated with high-dose opioids.
RVU Information
CPT J0574 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 J0574?
CPT J0574 (Bupren/nal 6.1 to 10mg bupre) is a J Codes (Drugs) code. Buprenorphine/naloxone combination oral, 6.1 to 10 milligrams buprenorphine, for sublingual administration in opioid use disorder treatment.
How is J0574 administered?
CPT J0574 is administered by a healthcare provider, typically via injection or infusion. High-dose combination formulation for patients with opioid use disorder requiring 6.1-10 mg buprenorphine for adequate maintenance therapy. Used in more severe addiction cases or those previously treated with high-dose opioids. It is used by addiction medicine, primary care, pain management.
When is CPT J0574 used?
High-dose combination formulation for patients with opioid use disorder requiring 6.1-10 mg buprenorphine for adequate maintenance therapy. Used in more severe addiction cases or those previously treated with high-dose opioids.
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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.