Question 1

What is HCPCS code S3620?

Accepted Answer

HCPCS code S3620 is "Newborn metabolic screening". Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis;  hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total)

Question 2

What category is S3620 in?

Accepted Answer

S3620 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S3620?

Accepted Answer

Use S3620 when billing for newborn metabolic screening. 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 S3620 covered by Medicare?

Accepted Answer

Coverage for S3620 (Newborn metabolic screening) 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 S3620?

Accepted Answer

Documentation for S3620 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).