Question 1

What is HCPCS code G0434?

Accepted Answer

HCPCS code G0434 is "Drug screen multi drug class". Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter

Question 2

What category is G0434 in?

Accepted Answer

G0434 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0434?

Accepted Answer

Use G0434 when billing for drug screen multi drug class. 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 G0434 covered by Medicare?

Accepted Answer

Coverage for G0434 (Drug screen multi drug class) 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 G0434?

Accepted Answer

Documentation for G0434 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).