Question 1

What is HCPCS code S9110?

Accepted Answer

HCPCS code S9110 is "Telemonitoring/home per mnth". Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month

Question 2

What category is S9110 in?

Accepted Answer

S9110 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S9110?

Accepted Answer

Use S9110 when billing for telemonitoring/home per mnth. 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 S9110 covered by Medicare?

Accepted Answer

Coverage for S9110 (Telemonitoring/home per mnth) 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 S9110?

Accepted Answer

Documentation for S9110 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).