Question 1

What is HCPCS code S2361?

Accepted Answer

HCPCS code S2361 is "Vertebroplast cerv addl". Each additional cervical vertebral body (list separately in addition to code for primary procedure)

Question 2

What category is S2361 in?

Accepted Answer

S2361 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S2361?

Accepted Answer

Use S2361 when billing for vertebroplast cerv addl. 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 S2361 covered by Medicare?

Accepted Answer

Coverage for S2361 (Vertebroplast cerv addl) 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 S2361?

Accepted Answer

Documentation for S2361 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).