Question 1

What is HCPCS code S5115?

Accepted Answer

HCPCS code S5115 is "Nonfamily homecare train/15m". Home care training, non-family; per 15 minutes

Question 2

What category is S5115 in?

Accepted Answer

S5115 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S5115?

Accepted Answer

Use S5115 when billing for nonfamily homecare train/15m. 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 S5115 covered by Medicare?

Accepted Answer

Coverage for S5115 (Nonfamily homecare train/15m) 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 S5115?

Accepted Answer

Documentation for S5115 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).