Question 1

What is HCPCS code S2107?

Accepted Answer

HCPCS code S2107 is "Adoptive immunotherapy". Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment

Question 2

What category is S2107 in?

Accepted Answer

S2107 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S2107?

Accepted Answer

Use S2107 when billing for adoptive immunotherapy. 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 S2107 covered by Medicare?

Accepted Answer

Coverage for S2107 (Adoptive immunotherapy) 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 S2107?

Accepted Answer

Documentation for S2107 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).