2025 HCPCS code S1002
(Active) Effective Date: N/A Durable Medical Equipment (DME) Feed
Customized item, patient customized, not otherwise specified
Modifiers may be applicable depending on the specific circumstances and payer guidelines.
Medical necessity must be established for the customization by demonstrating that the standard item does not meet the patient's needs and the modifications are essential for their medical condition.
In simple words: This code covers special modifications made to medical equipment specifically for your needs, beyond the standard options available.
Durable medical equipment that is uniquely constructed or modified for a specific patient due to their unique medical needs. This code is reported in addition to the code for the basic model of the same equipment.
Example 1: A patient requires a wheelchair with customized modifications due to their unusual body size or specific physical limitations. The S1002 code is used to bill for the modifications in addition to the code for the basic wheelchair., A child with a specific disability requires an adaptive stroller with specialized features. The S1002 code is used to bill for the adaptive components., An individual with an amputation needs a prosthetic limb with unique modifications to accommodate their residual limb and activity level.
Documentation should include the prescription for the customized item, details of the modifications, and a justification of medical necessity for the customization.
- Specialties:This code may be used by various specialties, including orthopedics, prosthetics, rehabilitation medicine, and physical therapy.
- Place of Service:Applicable places of service vary depending on where the customized item is provided, such as a physician's office, outpatient facility, or DME supplier.