J0573 HCPCS Level II code: Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine

J0573 is the HCPCS code for “Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

J0573

Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine

Short description: Bupren/nal 3.1 to 6mg bupren

HCPCS · United States

Notes for J0573

As CMS prints them, with any note J0573 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 J0573 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 J0573 sits

  1. 1J codesDrugs administered other than orally
  2. 2Active code J0573Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 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 J0573 mean?

J0573 is the HCPCS code for “Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover J0573?

CMS lists J0573’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.