Withdrawal Treatments for Narcotic Addictions Form

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Withdrawal Treatments for Narcotic Addictions

Notes: Drugs provided in connection with the withdrawal treatment are covered if they cannot be self-administered and meet all other statutory requirements.

Indications

(889560) Is the withdrawal treatment provided by a physician directly or under their personal supervision? 
(889561) Is the withdrawal treatment considered reasonable and necessary by the B/Medicare Administrative Contractor’s medical staff? 

Effective Date

01/01/2066

Last Reviewed

NA

Original Document

  Reference



Withdrawal is an accepted treatment for narcotic addiction, and Part B payment can be made for these services if they are provided by the physician directly or under his personal supervision and if they are reasonable and necessary. In reviewing claims, reasonableness and necessity are determined with the aid of the B/Medicare Administrative Contractor’s medical staff.

Drugs that the physician provides in connection with this treatment are also covered if they cannot be self-administered and meet all other statutory requirements.

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