S0109 Methadone oral 5mg
Also known as: methadone, opioid maintenance, addiction treatment
Methadone oral medication at 5 milligrams for opioid maintenance therapy.
In Plain Language
addiction treatment medication; opioid replacement therapy; heroin addiction medicine
Clinical Context
Used for medication-assisted treatment of opioid use disorder and chronic pain. Long-acting synthetic opioid with daily monitoring requirements.
RVU Information
CPT S0109 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
S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.
Specialties
Frequently Asked Questions
What is CPT code S0109?
CPT S0109 (Methadone oral 5mg) is a S Codes code. Methadone oral medication at 5 milligrams for opioid maintenance therapy.
Is S0109 covered by insurance?
S0109 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used for medication-assisted treatment of opioid use disorder and chronic pain. Long-acting synthetic opioid with daily monitoring requirements.
When is CPT S0109 used?
Used for medication-assisted treatment of opioid use disorder and chronic pain. Long-acting synthetic opioid with daily monitoring requirements.
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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.