Question 1

What is HCPCS code S2205?

Accepted Answer

HCPCS code S2205 is "Minimally invasive direct co". Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft

Question 2

What category is S2205 in?

Accepted Answer

S2205 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S2205?

Accepted Answer

Use S2205 when billing for minimally invasive direct co. 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 S2205 covered by Medicare?

Accepted Answer

Coverage for S2205 (Minimally invasive direct co) 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 S2205?

Accepted Answer

Documentation for S2205 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).