HCPCS code S9435
Medical foods for inborn errors of metabolism
What S9435 means
S9435 (Medical foods for inborn err) belongs to the HCPCS Level II S series (Temporary National Codes (Non-Medicare)). Its Medicare coverage status is Not payable by Medicare. This code is not payable by Medicare. Another code is usually used to report the item or service to Medicare, although other payers may accept it.
Part B pricing: Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.).
Code details
- Short description
- Medical foods for inborn err
- Coverage code
- I = Not payable by Medicare
- Pricing indicator
- 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)
- Multiple pricing indicator
- 9 = Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established(pricing indicator is '99')
- Type of service
- 9 = Other medical items or services
- Action code
- N = No maintenance for this code
- Action effective date
- January 01, 2001
- Code added date
- January 01, 2001
- Data year
- 2026
Questions about S9435
What is HCPCS code S9435?
HCPCS code S9435 is a Level II code in the S series (Temporary National Codes (Non-Medicare)). Its full description is: "Medical foods for inborn errors of metabolism"
Is S9435 a CPT code?
No. S9435 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.
Does Medicare cover HCPCS code S9435?
The Medicare coverage code for S9435 is "Not payable by Medicare". This code is not payable by Medicare. Another code is usually used to report the item or service to Medicare, although other payers may accept it.
When was HCPCS code S9435 added?
S9435 was added to the HCPCS code set on January 01, 2001. The most recent action on it (No maintenance for this code) took effect on January 01, 2001.
Nearby S codes
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- S9432Medical foods for non-inborn errors of metabolism
- S9433Medical food nutritionally complete, administered orally, providing 100% of nutritional intake
- S9434Modified solid food supplements for inborn errors of metabolism
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