Question 1

What is HCPCS code S4028?

Accepted Answer

HCPCS code S4028 is "Microsurg epi sperm asp". Microsurgical epididymal sperm aspiration (mesa)

Question 2

What category is S4028 in?

Accepted Answer

S4028 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S4028?

Accepted Answer

Use S4028 when billing for microsurg epi sperm asp. 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 S4028 covered by Medicare?

Accepted Answer

Coverage for S4028 (Microsurg epi sperm asp) 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 S4028?

Accepted Answer

Documentation for S4028 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).