Question 1

What is HCPCS code G0532?

Accepted Answer

HCPCS code G0532 is "Take home supp nasal spray". Take-home supply of nasal nalmefene hydrochloride; one carton of two, 2.7 mg per 0.1 ml nasal sprays (provision of the services by a medicare-enrolled opioid treatment program);( list separately in addition to each primary code)

Question 2

What category is G0532 in?

Accepted Answer

G0532 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G0532?

Accepted Answer

Use G0532 when billing for take home supp nasal spray. 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

What ICD-10 codes are commonly used with G0532?

Accepted Answer

Common ICD-10 diagnosis codes used with G0532 include: F11.10 (Opioid abuse, uncomplicated), F11.11 (Opioid abuse, in remission), F11.120 (Opioid abuse with intoxication, uncomplicated), F11.121 (Opioid abuse with intoxication delirium). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is G0532 covered by Medicare?

Accepted Answer

Coverage for G0532 (Take home supp nasal spray) 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 6

What documentation is required for G0532?

Accepted Answer

Documentation for G0532 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).