J0572 HCPCS Level II code: Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine

J0572 is the HCPCS code for “Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

J0572

Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine

Short description: Bupren/nal up to 3mg bupreno

HCPCS · United States

Notes for J0572

As CMS prints them, with any note J0572 takes from the headings above it.

Note

  • CMS processing note 0127: PUBLICATION 100.2, CHAPTER 15, 50.1.

Medicare details

The indicators CMS publishes with J0572 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Special coverage instructions apply
Medicare pricing
Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
Type of service
Medical care; Lump sum purchase of DME, prosthetics, orthotics
BETOS category
Other drugs
Added
Jan 1, 2015

Where J0572 sits

  1. 1J codesDrugs administered other than orally
  2. 2Active code J0572Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

Frequently asked questions

What does HCPCS code J0572 mean?

J0572 is the HCPCS code for “Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover J0572?

CMS lists J0572’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.