2025 HCPCS code G0033
Two or more benzodiazepine prescriptions ordered for a patient diagnosed with seizure disorder, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder between January 1 of the prior year and the index prescription start date.
In simple words: This code is used to track if a patient with specific conditions (like seizures, anxiety, or alcohol withdrawal) has been prescribed two or more benzodiazepine medications within a certain timeframe.
This code tracks the ordering of two or more benzodiazepine prescriptions for a patient with a diagnosed seizure disorder, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, alcohol withdrawal, or severe generalized anxiety disorder. The prescriptions must have been ordered between January 1 of the year before the measurement period and the index prescription start date (IPSD) for benzodiazepines.
Example 1: A patient with a documented seizure disorder has filled two prescriptions for diazepam between January 1st, 2023 and June 30th, 2024. The code G0033 would be used to track this for performance measurement related to MIPS., A patient diagnosed with severe generalized anxiety disorder received prescriptions for lorazepam and alprazolam within the specified timeframe. G0033 is applied to monitor the prescribing pattern for this patient., A patient experiencing alcohol withdrawal is prescribed two separate benzodiazepines to manage symptoms. G0033 tracks the multiple prescriptions within the defined period for the patient's condition.
Documentation should include diagnosis of the qualifying conditions (seizure disorder, rapid eye movement sleep behavior disorder, benzodiazepine withdrawal, ethanol withdrawal, or severe generalized anxiety disorder), dates of benzodiazepine prescriptions, and the index prescription start date (IPSD).
** This is a tracking code used for performance measurement and is not used for billing purposes. It is specifically for MIPS reporting.