Question 1

What is HCPCS code S0630?

Accepted Answer

HCPCS code S0630 is "Removal of sutures". Removal of sutures; by a physician other than the physician who originally closed the wound

Question 2

What category is S0630 in?

Accepted Answer

S0630 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S0630?

Accepted Answer

Use S0630 when billing for removal of sutures. 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 S0630 covered by Medicare?

Accepted Answer

Coverage for S0630 (Removal of sutures) 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 S0630?

Accepted Answer

Documentation for S0630 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).