Question 1

What is HCPCS code S9381?

Accepted Answer

HCPCS code S9381 is "Hit high risk/escort". Delivery or service to high risk areas requiring escort or extra protection, per visit

Question 2

What category is S9381 in?

Accepted Answer

S9381 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S9381?

Accepted Answer

Use S9381 when billing for hit high risk/escort. 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 S9381 covered by Medicare?

Accepted Answer

Coverage for S9381 (Hit high risk/escort) 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 S9381?

Accepted Answer

Documentation for S9381 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).