US · guidance
CMS Pub. 100-03, ch. 1, § 130.7
Withdrawal Treatments for Narcotic Addictions
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 A/B MAC (B)’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.
Cross-reference:
Medicare Benefit Policy Manual, Chapter 6, “Hospital Services Covered Under Part B,” §20.4.1.
History
(Rev. 173, Issued: 09-04-14, Effective: Upon Implementation: of ICD-10, Implementation: Upon Implementation of ICD-10)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
e5f9dbd086bf6e91fa27794b6ae5eae62efda8f8fee8cb0027d0610f5ac80513
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