Question 1

What is HCPCS code S9480?

Accepted Answer

HCPCS code S9480 is "Intensive outpatient psychia". Intensive outpatient psychiatric services, per diem

Question 2

What category is S9480 in?

Accepted Answer

S9480 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S9480?

Accepted Answer

Use S9480 when billing for intensive outpatient psychia. 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 S9480 covered by Medicare?

Accepted Answer

Coverage for S9480 (Intensive outpatient psychia) 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 S9480?

Accepted Answer

Documentation for S9480 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).