Question 1

What is HCPCS code S8055?

Accepted Answer

HCPCS code S8055 is "Us guidance fetal reduct". Ultrasound guidance for multifetal pregnancy reduction(s), technical component (only to be used when the physician doing the reduction procedure does not perform the ultrasound, guidance is included in the cpt code for multifetal pregnancy reduction - 59866)

Question 2

What category is S8055 in?

Accepted Answer

S8055 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S8055?

Accepted Answer

Use S8055 when billing for us guidance fetal reduct. 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 S8055 covered by Medicare?

Accepted Answer

Coverage for S8055 (Us guidance fetal reduct) 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 S8055?

Accepted Answer

Documentation for S8055 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).