Question 1

What is HCPCS code S2409?

Accepted Answer

HCPCS code S2409 is "Fetal surg noc". Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified

Question 2

What category is S2409 in?

Accepted Answer

S2409 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S2409?

Accepted Answer

Use S2409 when billing for fetal surg noc. 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 S2409 covered by Medicare?

Accepted Answer

Coverage for S2409 (Fetal surg noc) 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 S2409?

Accepted Answer

Documentation for S2409 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).