Question 1

What is HCPCS code S9211?

Accepted Answer

HCPCS code S9211 is "Home mgmt gest hypertension". Home management of gestational hypertension, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code)

Question 2

What category is S9211 in?

Accepted Answer

S9211 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S9211?

Accepted Answer

Use S9211 when billing for home mgmt gest hypertension. 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 S9211 covered by Medicare?

Accepted Answer

Coverage for S9211 (Home mgmt gest hypertension) 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 S9211?

Accepted Answer

Documentation for S9211 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).