Question 1

What is HCPCS code S2400?

Accepted Answer

HCPCS code S2400 is "Fetal surg congen hernia". Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero

Question 2

What category is S2400 in?

Accepted Answer

S2400 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S2400?

Accepted Answer

Use S2400 when billing for fetal surg congen hernia. 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 S2400 covered by Medicare?

Accepted Answer

Coverage for S2400 (Fetal surg congen hernia) 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 S2400?

Accepted Answer

Documentation for S2400 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).