Question 1

What is HCPCS code S8450?

Accepted Answer

HCPCS code S8450 is "Splint digit". Splint, prefabricated, digit (specify digit by use of modifier)

Question 2

What category is S8450 in?

Accepted Answer

S8450 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S8450?

Accepted Answer

Use S8450 when billing for splint digit. 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 S8450 covered by Medicare?

Accepted Answer

Coverage for S8450 (Splint digit) 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 S8450?

Accepted Answer

Documentation for S8450 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).