Question 1

What is HCPCS code S5161?

Accepted Answer

HCPCS code S5161 is "Emer rspns sys serv permonth". Emergency response system; service fee, per month (excludes installation and testing)

Question 2

What category is S5161 in?

Accepted Answer

S5161 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S5161?

Accepted Answer

Use S5161 when billing for emer rspns sys serv permonth. 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 S5161 covered by Medicare?

Accepted Answer

Coverage for S5161 (Emer rspns sys serv permonth) 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 S5161?

Accepted Answer

Documentation for S5161 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).