Question 1

What is HCPCS code S0622?

Accepted Answer

HCPCS code S0622 is "Phys exam for college". Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)

Question 2

What category is S0622 in?

Accepted Answer

S0622 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S0622?

Accepted Answer

Use S0622 when billing for phys exam for college. 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 S0622 covered by Medicare?

Accepted Answer

Coverage for S0622 (Phys exam for college) 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 S0622?

Accepted Answer

Documentation for S0622 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).