Question 1

What is HCPCS code S3601?

Accepted Answer

HCPCS code S3601 is "Stat lab home/nf". Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility

Question 2

What category is S3601 in?

Accepted Answer

S3601 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S3601?

Accepted Answer

Use S3601 when billing for stat lab home/nf. 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 S3601 covered by Medicare?

Accepted Answer

Coverage for S3601 (Stat lab home/nf) 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 S3601?

Accepted Answer

Documentation for S3601 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).