Question 1

What is HCPCS code S0220?

Accepted Answer

HCPCS code S0220 is "Medical conference by physic". Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes

Question 2

What category is S0220 in?

Accepted Answer

S0220 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S0220?

Accepted Answer

Use S0220 when billing for medical conference by physic. 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 S0220 covered by Medicare?

Accepted Answer

Coverage for S0220 (Medical conference by physic) 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 S0220?

Accepted Answer

Documentation for S0220 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).