Question 1

What is HCPCS code S0302?

Accepted Answer

HCPCS code S0302 is "Completed epsdt". Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)

Question 2

What category is S0302 in?

Accepted Answer

S0302 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S0302?

Accepted Answer

Use S0302 when billing for completed epsdt. 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 S0302 covered by Medicare?

Accepted Answer

Coverage for S0302 (Completed epsdt) 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 S0302?

Accepted Answer

Documentation for S0302 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).