G1028 – Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)

Active code Carrier judgment

HCPCS codeG1028
Long description
Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
Short description
Take home supply 8mg per 0.1
Pricing indicator
11 Priced using national RVUs (Physician Fee Schedule)
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
Z2 Undefined codes
Added
January 1, 2022
Last change
January 1, 2022 – No change

Frequently asked questions

What is HCPCS code G1028?

G1028 is a HCPCS Level II code for take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure.

Does Medicare cover G1028?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby G codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.