G6056 — Opiate(s), drug and metabolites, each procedure
G6056 is a HCPCS Level II code for opiate(s), drug and metabolites, each procedure. It belongs to the Procedures and Professional Services (Temporary) section. It was terminated on December 31, 2015 and is not valid on new claims.
This code has been terminated
CMS terminated G6056 on December 31, 2015. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
The CMS record for G6056
- Long descriptor
- Opiate(s), drug and metabolites, each procedure
- Short descriptor
- Assay of opiates
- Added
- January 1, 2015
- Terminated
- December 31, 2015
- BETOS
- T1H
- Pricing indicator
- 21 — Clinical lab fee schedule
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
When CMS retired it.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Price subject to the national limitation amount.
Codes adjacent to G6056
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G6056 is not quite right, the correct code is very often within a few positions of it.
- G6048Dimethadioneterminated
- G6049Epiandrosteroneterminated
- G6050Ethchlorvynolterminated
- G6051Flurazepamterminated
- G6052Meprobamateterminated
- G6053Methadoneterminated
- G6054Methsuximideterminated
- G6055Nicotineterminated
- G6057Phenothiazineterminated
- G6058Drug confirmation, each procedureterminated
- G8126Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phaseterminated
- G8127Patient with a diagnosis of major depression not documented as being treated with antidepressant medication during the entire 84 day (12 week) acute treatment phaseterminated
- G8128Clinician documented that patient was not an eligible candidate for antidepressant medication during the entire 12 week acute treatment phase measureterminated
- G8395Left ventricular ejection fraction (lvef) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
- G8396Left ventricular ejection fraction (lvef) not performed or documented
- G8397Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy
Questions about G6056
What is HCPCS code G6056?
G6056 is a HCPCS Level II code for opiate(s), drug and metabolites, each procedure. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G6056?
The CMS HCPCS file marks G6056 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
Is G6056 still valid?
No. G6056 was terminated on December 31, 2015 and should not be used on new claims.