Question 1

What is HCPCS code S5522?

Accepted Answer

HCPCS code S5522 is "Hit picc insert no supp". Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included)

Question 2

What category is S5522 in?

Accepted Answer

S5522 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S5522?

Accepted Answer

Use S5522 when billing for hit picc insert no supp. 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 S5522 covered by Medicare?

Accepted Answer

Coverage for S5522 (Hit picc insert no supp) 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 S5522?

Accepted Answer

Documentation for S5522 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).