Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)
HCPCS code
Name of the Procedure:
Medication Assisted Treatment (MAT) Weekly Bundle
Common Names: MAT weekly bundle, Opioid addiction treatment program
Technical Term: G2074
Summary
Medication Assisted Treatment (MAT) weekly bundle is a comprehensive treatment plan for individuals with opioid addiction. It includes substance use counseling, individual and group therapy, and toxicology testing (if performed). The bundle does not include medication but provides a holistic support system to aid recovery. The services are provided by a Medicare-enrolled opioid treatment program.
Purpose
Medical Conditions: Opioid Use Disorder (OUD)
Goals: To support individuals in overcoming opioid addiction, to provide psychological support through counseling and therapy, and to monitor sobriety through toxicology testing.
Indications
Symptoms/Conditions: Chronic opioid use, difficulty managing opioid withdrawal, cravings for opioids, relapse prevention.
Patient Criteria: Patients diagnosed with Opioid Use Disorder who are enrolled in a Medicare-enrolled opioid treatment program.
Preparation
Pre-procedure Instructions: Patients may be advised to maintain a log of their substance use, avoid alcohol and illicit drugs, and prepare for open, honest discussions.
Diagnostic Tests/Assessments: Initial assessment by a healthcare provider, which may include a physical exam, mental health evaluation, and reviewing the patient's medical history.
Procedure Description
- Counseling: Patients receive substance use counseling to address psychological and behavioral aspects of addiction.
- Individual Therapy: One-on-one sessions with a licensed therapist to develop personalized strategies for managing addiction.
- Group Therapy: Participating in group sessions to share experiences and gain support from peers.
- Toxicology Testing: Optional tests to monitor abstinence from opioids and other substances.
Tools/Equipment: Counseling rooms, testing kits for toxicology.
Anesthesia/Sedation: Not applicable, as the procedure is non-invasive.
Duration
Each aspect of the MAT bundle varies in duration but typically, the entire weekly bundle can take several hours to complete.
Setting
The procedure is performed in a variety of settings including outpatient clinics, specialized opioid treatment centers, or community health centers.
Personnel
Involved Professionals: Licensed counselors, therapists, and medical professionals specialized in addiction treatment.
Risks and Complications
Common Risks: Emotional discomfort during therapy, difficulty in discussing personal issues.
Rare Risks: Relapse, inaccurate toxicology results.
Management: Continuous support, re-assessment, and adjustment of treatment plans as needed.
Benefits
Expected Benefits: Improved ability to manage opioid cravings and withdrawal symptoms, psychological support, relapse prevention.
Realization Time: Benefits may be observed gradually over weeks to months, depending on individual progress.
Recovery
Post-Procedure Care: Follow-up therapy sessions, ongoing participation in counseling.
Recovery Time: Continuous, as addiction recovery is an ongoing process. Regular follow-ups and therapy sessions are essential.
Alternatives
Other Treatment Options: Inpatient rehab programs, medication-only treatment plans, peer support groups.
Pros/Cons: Inpatient programs offer intensive support but can be more disruptive to daily life. Medication-only plans may not address psychological aspects effectively. Peer support groups can complement but not replace professional therapy.
Patient Experience
During Procedure: Emotional and mental engagement in therapy sessions; possible stress or discomfort from discussing personal issues.
Post-Procedure: Patients might feel relief, better emotional support, and increased motivation for recovery. Pain management is not typically required, but emotional comfort measures such as regular check-ins and supportive communication are vital.