Question 1

What is HCPCS code S1035?

Accepted Answer

HCPCS code S1035 is "Art pancreas inv disp sensor". Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system

Question 2

What category is S1035 in?

Accepted Answer

S1035 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S1035?

Accepted Answer

Use S1035 when billing for art pancreas inv disp sensor. 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 S1035 covered by Medicare?

Accepted Answer

Coverage for S1035 (Art pancreas inv disp sensor) 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 S1035?

Accepted Answer

Documentation for S1035 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).