Question 1

What is HCPCS code S0174?

Accepted Answer

HCPCS code S0174 is "Dolasetron 50 mg". Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)

Question 2

What category is S0174 in?

Accepted Answer

S0174 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S0174?

Accepted Answer

Use S0174 when billing for dolasetron 50 mg. 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 S0174 covered by Medicare?

Accepted Answer

Coverage for S0174 (Dolasetron 50 mg) 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 S0174?

Accepted Answer

Documentation for S0174 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).