Question 1

What is HCPCS code S1031?

Accepted Answer

HCPCS code S1031 is "Gluc monitor rental". Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code)

Question 2

What category is S1031 in?

Accepted Answer

S1031 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S1031?

Accepted Answer

Use S1031 when billing for gluc monitor rental. 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 S1031 covered by Medicare?

Accepted Answer

Coverage for S1031 (Gluc monitor rental) 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 S1031?

Accepted Answer

Documentation for S1031 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).