Question 1

What is HCPCS code S4040?

Accepted Answer

HCPCS code S4040 is "Monit store cryo embryo 30 d". Monitoring and storage of cryopreserved embryos, per 30 days

Question 2

What category is S4040 in?

Accepted Answer

S4040 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S4040?

Accepted Answer

Use S4040 when billing for monit store cryo embryo 30 d. 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 S4040 covered by Medicare?

Accepted Answer

Coverage for S4040 (Monit store cryo embryo 30 d) 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 S4040?

Accepted Answer

Documentation for S4040 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).