Question 1

What is HCPCS code G0432?

Accepted Answer

HCPCS code G0432 is "Eia hiv-1/hiv-2 screen". Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening

Question 2

What category is G0432 in?

Accepted Answer

G0432 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0432?

Accepted Answer

Use G0432 when billing for eia hiv-1/hiv-2 screen. 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 G0432 covered by Medicare?

Accepted Answer

Coverage for G0432 (Eia hiv-1/hiv-2 screen) 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 G0432?

Accepted Answer

Documentation for G0432 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).