Question 1

What is HCPCS code G2083?

Accepted Answer

HCPCS code G2083 is "Visit esketamine, > 56m". Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of  greater than 56 mg esketamine nasal self-administration, includes 2 hours post-administration observation

Question 2

What category is G2083 in?

Accepted Answer

G2083 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G2083?

Accepted Answer

Use G2083 when billing for visit esketamine, > 56m. 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 G2083 covered by Medicare?

Accepted Answer

Coverage for G2083 (Visit esketamine, > 56m) 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 G2083?

Accepted Answer

Documentation for G2083 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).