G0032 HCPCS - TWO OR MORE ANTIPSYCHOTIC PRESCRIPTIONS ORDERED FOR PATIENTS WHO HAD A DIAGNOSIS OF SCHIZOPHRENIA, SCHIZOAFFECTIVE DISORDER, OR BIPOLAR DISORDER ON OR BETWEEN JANUARY 1 OF THE YEAR PRIOR TO THE MEASUREMENT PERIOD AND THE INDEX PRESCRIPTION START DATE (IPSD) FOR ANTIPSYCHOTICS

Code Information

  • HCPCS Code: G0032
  • Sequence Number: 0010
  • Short Description: 2+ antipsy schiz
  • Long Description: Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics
  • Date Added: 1/1/2022
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2022
  • Classification: Temporary Procedures & Professional Services
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: Z2 - Undefined codes
  • Type Of Service Code:
    • 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96

Billing Information

  • Pricing Indicator Code:
    • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
  • Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code G0032
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia, schizoaffective disorder, or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics
      HCPCS Short Description 2+ antipsy schiz
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code Z2 - Undefined codes
      HCPCS Type Of Service Code 1 1 - Whole blood only eff 01/96, whole blood or packed red cells before 01/96
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2022
      HCPCS Action Effective Date 1/1/2022
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 7/1/2024