Question 1

What is HCPCS code S8030?

Accepted Answer

HCPCS code S8030 is "Tantalum ring application". Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy

Question 2

What category is S8030 in?

Accepted Answer

S8030 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S8030?

Accepted Answer

Use S8030 when billing for tantalum ring application. 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 S8030 covered by Medicare?

Accepted Answer

Coverage for S8030 (Tantalum ring application) 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 S8030?

Accepted Answer

Documentation for S8030 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).