Question 1

What is HCPCS code S0320?

Accepted Answer

HCPCS code S0320 is "Rn telephone calls to dmp". Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month

Question 2

What category is S0320 in?

Accepted Answer

S0320 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S0320?

Accepted Answer

Use S0320 when billing for rn telephone calls to dmp. 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 S0320 covered by Medicare?

Accepted Answer

Coverage for S0320 (Rn telephone calls to dmp) 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 S0320?

Accepted Answer

Documentation for S0320 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).