Question 1

What is HCPCS code S4989?

Accepted Answer

HCPCS code S4989 is "Contracept iud". Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies

Question 2

What category is S4989 in?

Accepted Answer

S4989 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S4989?

Accepted Answer

Use S4989 when billing for contracept iud. 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 S4989 covered by Medicare?

Accepted Answer

Coverage for S4989 (Contracept iud) 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 S4989?

Accepted Answer

Documentation for S4989 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).