Question 1

What is HCPCS code G0033?

Accepted Answer

HCPCS code G0033 is "2+ benzo seiz". Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of seizure disorders, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder on or between january 1 of the year prior to the measurement period and the ipsd for benzodiazepines

Question 2

What category is G0033 in?

Accepted Answer

G0033 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0033?

Accepted Answer

Use G0033 when billing for 2+ benzo seiz. 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 G0033 covered by Medicare?

Accepted Answer

Coverage for G0033 (2+ benzo seiz) 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 G0033?

Accepted Answer

Documentation for G0033 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).