Question 1

What is HCPCS code S1001?

Accepted Answer

HCPCS code S1001 is "Deluxe item". Deluxe item, patient aware (list in addition to code for basic item)

Question 2

What category is S1001 in?

Accepted Answer

S1001 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S1001?

Accepted Answer

Use S1001 when billing for deluxe item. 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 S1001 covered by Medicare?

Accepted Answer

Coverage for S1001 (Deluxe item) 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 S1001?

Accepted Answer

Documentation for S1001 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).