Question 1

What is HCPCS code S9122?

Accepted Answer

HCPCS code S9122 is "Home health aide or certifie". Home health aide or certified nurse assistant, providing care in the home; per hour

Question 2

What category is S9122 in?

Accepted Answer

S9122 belongs to HCPCS Category S (Temporary National Codes (Non-Medicare)).

Question 3

When should I use HCPCS code S9122?

Accepted Answer

Use S9122 when billing for home health aide or certifie. 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 S9122 covered by Medicare?

Accepted Answer

Coverage for S9122 (Home health aide or certifie) 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 S9122?

Accepted Answer

Documentation for S9122 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).