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HCPCS S2061

Donor lobectomy (lung) for transplantation, living donor

HCPCS S2061 Commercial Payers (Non-Medicare)

Description

Donor lobectomy (lung) for transplantation, living donor

Documentation Requirements

  • Document clinical indications and clear medical necessity supporting the encounter or procedure.
  • Ensure complete provider signatures, credentials, date, and specific place of service (POS).
  • Verify documentation strictly supports code specificity to prevent downcoding or claim denials.

Billing & Coding Tips

  • Verify current payer fee schedules, NCCI edits, and Medically Unlikely Edits (MUEs).
  • Append correct modifiers (e.g., 25, 59, 26, TC) where distinct procedural services or components apply.
  • Confirm pre-authorization rules with Medicare, Medicaid, and commercial plans before submission.

Related Codes

S2053 S2054 S2055 S2060 S2065 S2066 S2067 S2068 S2070 S2079 S2080 S2083 S2095 S2102 S2103

Quantum Health Services provides full-cycle revenue cycle management and medical billing services nationwide. This code reference is for educational purposes; always verify official payer policies. CPT© descriptors require proper AMA licensing.