S9992 Insurance Policy Changes

HCPCS S9992 is officially defined as "Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion." HCPCS S9992 is referenced in 2 tracked payer policy changes from Blue Cross NC and Excellus BlueCross BlueShield. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS S9992 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.