Question 1

What is HCPCS code G0032?

Accepted Answer

HCPCS code G0032 is "2+ antipsy schiz". Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics

Question 2

What category is G0032 in?

Accepted Answer

G0032 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0032?

Accepted Answer

Use G0032 when billing for 2+ antipsy schiz. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G0032 covered by Medicare?

Accepted Answer

Coverage for G0032 (2+ antipsy schiz) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G0032?

Accepted Answer

Documentation for G0032 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).