J0575 Bupren/nal over 10mg bupreno
Also known as: buprenorphine/naloxone, Suboxone, bup/nal maximum
Buprenorphine/naloxone combination oral, over 10 milligrams buprenorphine, for sublingual administration in opioid use disorder treatment.
In Plain Language
maximum-strength addiction treatment tablet; highest-dose opioid replacement
Clinical Context
Maximum maintenance dosing for opioid use disorder, exceeding 10 mg buprenorphine. Reserved for patients with severe opioid dependence unresponsive to lower doses or those with prior high-dose opioid exposure.
RVU Information
CPT J0575 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 J0575?
CPT J0575 (Bupren/nal over 10mg bupreno) is a J Codes (Drugs) code. Buprenorphine/naloxone combination oral, over 10 milligrams buprenorphine, for sublingual administration in opioid use disorder treatment.
How is J0575 administered?
CPT J0575 is administered by a healthcare provider, typically via injection or infusion. Maximum maintenance dosing for opioid use disorder, exceeding 10 mg buprenorphine. Reserved for patients with severe opioid dependence unresponsive to lower doses or those with prior high-dose opioid exposure. It is used by addiction medicine, primary care, pain management.
When is CPT J0575 used?
Maximum maintenance dosing for opioid use disorder, exceeding 10 mg buprenorphine. Reserved for patients with severe opioid dependence unresponsive to lower doses or those with prior high-dose opioid exposure.
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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.