Question 1

What is HCPCS code S0340?

Accepted Answer

HCPCS code S0340 is "Lifestyle mod 1st stage". Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage

Question 2

What category is S0340 in?

Accepted Answer

S0340 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S0340?

Accepted Answer

Use S0340 when billing for lifestyle mod 1st stage. 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 S0340 covered by Medicare?

Accepted Answer

Coverage for S0340 (Lifestyle mod 1st stage) 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 S0340?

Accepted Answer

Documentation for S0340 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).