Question 1

What is HCPCS code S2095?

Accepted Answer

HCPCS code S2095 is "Transcath emboliz microspher". Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres

Question 2

What category is S2095 in?

Accepted Answer

S2095 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S2095?

Accepted Answer

Use S2095 when billing for transcath emboliz microspher. 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 S2095 covered by Medicare?

Accepted Answer

Coverage for S2095 (Transcath emboliz microspher) 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 S2095?

Accepted Answer

Documentation for S2095 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).