Question 1

What is HCPCS code S0595?

Accepted Answer

HCPCS code S0595 is "New lenses in pts old frame". Dispensing new spectacle lenses for patient supplied frame

Question 2

What category is S0595 in?

Accepted Answer

S0595 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S0595?

Accepted Answer

Use S0595 when billing for new lenses in pts old frame. 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 S0595 covered by Medicare?

Accepted Answer

Coverage for S0595 (New lenses in pts old frame) 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 S0595?

Accepted Answer

Documentation for S0595 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).