Question 1

What is HCPCS code G8632?

Accepted Answer

HCPCS code G8632 is "Doc no antibi order b/4 surg". Prophylactic parenteral antibiotics were not ordered to be given or given within one hour (if fluoroquinolone or vancomycin, two hours) prior to the surgical incision (or start of procedure when no incision is required), reason not given

Question 2

What category is G8632 in?

Accepted Answer

G8632 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G8632?

Accepted Answer

Use G8632 when billing for doc no antibi order b/4 surg. 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 G8632 covered by Medicare?

Accepted Answer

Coverage for G8632 (Doc no antibi order b/4 surg) 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 G8632?

Accepted Answer

Documentation for G8632 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).