Question 1

What is HCPCS code S8097?

Accepted Answer

HCPCS code S8097 is "Asthma kit". Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer)

Question 2

What category is S8097 in?

Accepted Answer

S8097 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S8097?

Accepted Answer

Use S8097 when billing for asthma 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 S8097 covered by Medicare?

Accepted Answer

Coverage for S8097 (Asthma 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 S8097?

Accepted Answer

Documentation for S8097 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).