Question 1

What is HCPCS code S9343?

Accepted Answer

HCPCS code S9343 is "Hit enteral bolus nurs". Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem

Question 2

What category is S9343 in?

Accepted Answer

S9343 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S9343?

Accepted Answer

Use S9343 when billing for hit enteral bolus nurs. 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 S9343 covered by Medicare?

Accepted Answer

Coverage for S9343 (Hit enteral bolus nurs) 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 S9343?

Accepted Answer

Documentation for S9343 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).