Question 1

What is HCPCS code S5013?

Accepted Answer

HCPCS code S5013 is "5%dextrose/0.45%saline1000ml". 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml

Question 2

What category is S5013 in?

Accepted Answer

S5013 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S5013?

Accepted Answer

Use S5013 when billing for 5%dextrose/0.45%saline1000ml. 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 S5013 covered by Medicare?

Accepted Answer

Coverage for S5013 (5%dextrose/0.45%saline1000ml) 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 S5013?

Accepted Answer

Documentation for S5013 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).