Question 1

What is HCPCS code S9433?

Accepted Answer

HCPCS code S9433 is "Medical food oral 100% nutr". Medical food nutritionally complete, administered orally, providing 100% of nutritional intake

Question 2

What category is S9433 in?

Accepted Answer

S9433 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S9433?

Accepted Answer

Use S9433 when billing for medical food oral 100% nutr. 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 S9433 covered by Medicare?

Accepted Answer

Coverage for S9433 (Medical food oral 100% nutr) 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 S9433?

Accepted Answer

Documentation for S9433 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).