Question 1

What is HCPCS code S8490?

Accepted Answer

HCPCS code S8490 is "100 insulin syringes". Insulin syringes (100 syringes, any size)

Question 2

What category is S8490 in?

Accepted Answer

S8490 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S8490?

Accepted Answer

Use S8490 when billing for 100 insulin syringes. 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 S8490 covered by Medicare?

Accepted Answer

Coverage for S8490 (100 insulin syringes) 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 S8490?

Accepted Answer

Documentation for S8490 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).