Question 1

What is HCPCS code S5520?

Accepted Answer

HCPCS code S5520 is "Hit picc insert kit". Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion

Question 2

What category is S5520 in?

Accepted Answer

S5520 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S5520?

Accepted Answer

Use S5520 when billing for hit picc insert kit. 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 S5520 covered by Medicare?

Accepted Answer

Coverage for S5520 (Hit picc insert kit) 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 S5520?

Accepted Answer

Documentation for S5520 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).