Question 1

What is HCPCS code S0091?

Accepted Answer

HCPCS code S0091 is "Granisetron 1mg". Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166)

Question 2

What category is S0091 in?

Accepted Answer

S0091 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S0091?

Accepted Answer

Use S0091 when billing for granisetron 1mg. 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 S0091 covered by Medicare?

Accepted Answer

Coverage for S0091 (Granisetron 1mg) 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 S0091?

Accepted Answer

Documentation for S0091 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).