Question 1

What is HCPCS code S4988?

Accepted Answer

HCPCS code S4988 is "Penile contractur devic manu". Penile contracture device, manual, greater than 3 lbs traction force

Question 2

What category is S4988 in?

Accepted Answer

S4988 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S4988?

Accepted Answer

Use S4988 when billing for penile contractur devic manu. 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 S4988 covered by Medicare?

Accepted Answer

Coverage for S4988 (Penile contractur devic manu) 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 S4988?

Accepted Answer

Documentation for S4988 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).