HCPCS S Codes List 2023 | HCPCSCodes.org

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S Codes

Commercial Payers (Temporary Codes)

Codes

s0012
Butorphanol tartrate, nasal spray, 25 mg
s0013
Esketamine, nasal spray, 1 mg
s0014
Tacrine hydrochloride, 10 mg
s0017
Injection, aminocaproic acid, 5 grams
s0020
Injection, bupivicaine hydrochloride, 30 ml
s0021
Injection, cefoperazone sodium, 1 gram
s0023
Injection, cimetidine hydrochloride, 300 mg
s0028
Injection, famotidine, 20 mg
s0030
Injection, metronidazole, 500 mg
s0032
Injection, nafcillin sodium, 2 grams
s0034
Injection, ofloxacin, 400 mg
s0039
Injection, sulfamethoxazole and trimethoprim, 10 ml
s0040
Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams
s0073
Injection, aztreonam, 500 mg
s0074
Injection, cefotetan disodium, 500 mg
s0077
Injection, clindamycin phosphate, 300 mg
s0078
Injection, fosphenytoin sodium, 750 mg
s0080
Injection, pentamidine isethionate, 300 mg
s0081
Injection, piperacillin sodium, 500 mg
s0088
Imatinib, 100 mg
s0090
Sildenafil citrate, 25 mg
s0091
Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166)
s0092
Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump)
s0093
Injection, morphine sulfate, 500 mg (loading dose for infusion pump)
s0104
Zidovudine, oral, 100 mg
s0106
Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets
s0108
Mercaptopurine, oral, 50 mg
s0109
Methadone, oral, 5 mg
s0117
Tretinoin, topical, 5 grams
s0119
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)
s0122
Injection, menotropins, 75 iu
s0126
Injection, follitropin alfa, 75 iu
s0128
Injection, follitropin beta, 75 iu
s0132
Injection, ganirelix acetate, 250 mcg
s0136
Clozapine, 25 mg
s0137
Didanosine (ddi), 25 mg
s0138
Finasteride, 5 mg
s0139
Minoxidil, 10 mg
s0140
Saquinavir, 200 mg
s0142
Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg
s0144
Injection, propofol, 10 mg
s0145
Injection, pegylated interferon alfa-2a, 180 mcg per ml
s0148
Injection, pegylated interferon alfa-2b, 10 mcg
s0155
Sterile dilutant for epoprostenol, 50 ml
s0156
Exemestane, 25 mg
s0157
Becaplermin gel 0.01%, 0.5 gm
s0160
Dextroamphetamine sulfate, 5 mg
s0164
Injection, pantoprazole sodium, 40 mg
s0166
Injection, olanzapine, 2.5 mg
s0169
Calcitrol, 0.25 microgram
s0170
Anastrozole, oral, 1 mg
s0171
Injection, bumetanide, 0.5 mg
s0172
Chlorambucil, oral, 2 mg
s0174
Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)
s0175
Flutamide, oral, 125 mg
s0176
Hydroxyurea, oral, 500 mg
s0177
Levamisole hydrochloride, oral, 50 mg
s0178
Lomustine, oral, 10 mg
s0179
Megestrol acetate, oral, 20 mg
s0182
Procarbazine hydrochloride, oral, 50 mg
s0183
Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)
s0187
Tamoxifen citrate, oral, 10 mg
s0189
Testosterone pellet, 75 mg
s0190
Mifepristone, oral, 200 mg
s0191
Misoprostol, oral, 200 mcg
s0194
Dialysis/stress vitamin supplement, oral, 100 capsules
s0195
Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine
s0197
Prenatal vitamins, 30-day supply
s0199
Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs
s0201
Partial hospitalization services, less than 24 hours, per diem
s0207
Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport
s0208
Paramedic intercept, hospital-based als service (non-voluntary), non-transport
s0209
Wheelchair van, mileage, per mile
s0215
Non-emergency transportation; mileage, per mile
s0220
Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes
s0221
Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes
s0250
Comprehensive geriatric assessment and treatment planning performed by assessment team
s0255
Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff
s0257
Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)
s0260
History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)
s0265
Genetic counseling, under physician supervision, each 15 minutes
s0270
Physician management of patient home care, standard monthly case rate (per 30 days)
s0271
Physician management of patient home care, hospice monthly case rate (per 30 days)
s0272
Physician management of patient home care, episodic care monthly case rate (per 30 days)
s0273
Physician visit at member's home, outside of a capitation arrangement
s0274
Nurse practitioner visit at member's home, outside of a capitation arrangement
s0280
Medical home program, comprehensive care coordination and planning, initial plan
s0281
Medical home program, comprehensive care coordination and planning, maintenance of plan
s0285
Colonoscopy consultation performed prior to a screening colonoscopy procedure
s0302
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)
s0310
Hospitalist services (list separately in addition to code for appropriate evaluation and management service)
s0311
Comprehensive management and care coordination for advanced illness, per calendar month
s0315
Disease management program; initial assessment and initiation of the program
s0316
Disease management program, follow-up/reassessment
s0317
Disease management program; per diem
s0320
Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month
s0340
Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage
s0341
Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage
s0342
Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage
s0353
Treatment planning and care coordination management for cancer, initial treatment
s0354
Treatment planning and care coordination management for cancer, established patient with a change of regimen
s0390
Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit
s0395
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic
s0400
Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)
s0500
Disposable contact lens, per lens
s0504
Single vision prescription lens (safety, athletic, or sunglass), per lens
s0506
Bifocal vision prescription lens (safety, athletic, or sunglass), per lens
s0508
Trifocal vision prescription lens (safety, athletic, or sunglass), per lens
s0510
Non-prescription lens (safety, athletic, or sunglass), per lens
s0512
Daily wear specialty contact lens, per lens
s0514
Color contact lens, per lens
s0515
Scleral lens, liquid bandage device, per lens
s0516
Safety eyeglass frames
s0518
Sunglasses frames
s0580
Polycarbonate lens (list this code in addition to the basic code for the lens)
s0581
Nonstandard lens (list this code in addition to the basic code for the lens)
s0590
Integral lens service, miscellaneous services reported separately
s0592
Comprehensive contact lens evaluation
s0595
Dispensing new spectacle lenses for patient supplied frame
s0596
Phakic intraocular lens for correction of refractive error
s0601
Screening proctoscopy
s0610
Annual gynecological examination, new patient
s0612
Annual gynecological examination, established patient
s0613
Annual gynecological examination; clinical breast examination without pelvic evaluation
s0618
Audiometry for hearing aid evaluation to determine the level and degree of hearing loss
s0620
Routine ophthalmological examination including refraction; new patient
s0621
Routine ophthalmological examination including refraction; established patient
s0622
Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)
s0630
Removal of sutures; by a physician other than the physician who originally closed the wound
s0800
Laser in situ keratomileusis (lasik)
s0810
Photorefractive keratectomy (prk)
s0812
Phototherapeutic keratectomy (ptk)
s1001
Deluxe item, patient aware (list in addition to code for basic item)
s1002
Customized item (list in addition to code for basic item)
s1015
Iv tubing extension set
s1016
Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel
s1030
Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt code)
s1031
Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code)
s1034
Artificial pancreas device system (e.g., low glucose suspend (lgs) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices
s1035
Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system
s1036
Transmitter; external, for use with artificial pancreas device system
s1037
Receiver (monitor); external, for use with artificial pancreas device system
s1040
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)
s1090
Mometasone furoate sinus implant, 370 micrograms
s1091
Stent, non-coronary, temporary, with delivery system (propel)
s2053
Transplantation of small intestine and liver allografts
s2054
Transplantation of multivisceral organs
s2055
Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor
s2060
Lobar lung transplantation
s2061
Donor lobectomy (lung) for transplantation, living donor
s2065
Simultaneous pancreas kidney transplantation
s2066
Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
s2067
Breast reconstruction of a single breast with "stacked" deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral
s2068
Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
s2070
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization)
s2079
Laparoscopic esophagomyotomy (heller type)
s2080
Laser-assisted uvulopalatoplasty (laup)
s2083
Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline
s2095
Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres
s2102
Islet cell tissue transplant from pancreas; allogeneic
s2103
Adrenal tissue transplant to brain
s2107
Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment
s2112
Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)
s2115
Osteotomy, periacetabular, with internal fixation
s2117
Arthroereisis, subtalar
s2118
Metal-on-metal total hip resurfacing, including acetabular and femoral components
s2120
Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation
s2140
Cord blood harvesting for transplantation, allogeneic
s2142
Cord blood-derived stem-cell transplantation, allogeneic
s2150
Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; marrow ablative therapy; drugs, supplies, hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services; and the number of days of pre-and post-transplant care in the global definition
s2152
Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services, and the number of days of pre- and post-transplant care in the global definition
s2202
Echosclerotherapy
s2205
Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft
s2206
Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts
s2207
Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft
s2208
Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous graft
s2209
Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft
s2225
Myringotomy, laser-assisted
s2230
Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear
s2235
Implantation of auditory brain stem implant
s2260
Induced abortion, 17 to 24 weeks
s2265
Induced abortion, 25 to 28 weeks
s2266
Induced abortion, 29 to 31 weeks
s2267
Induced abortion, 32 weeks or greater
s2300
Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy
s2325
Hip core decompression
s2340
Chemodenervation of abductor muscle(s) of vocal cord
s2341
Chemodenervation of adductor muscle(s) of vocal cord
s2342
Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral
s2348
Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar
s2350
Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace
s2351
Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure)
s2360
Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; cervical
s2361
Each additional cervical vertebral body (list separately in addition to code for primary procedure)
s2400
Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero
s2401
Repair, urinary tract obstruction in the fetus, procedure performed in utero
s2402
Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero
s2403
Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero
s2404
Repair, myelomeningocele in the fetus, procedure performed in utero
s2405
Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero
s2409
Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified
s2411
Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome
s2900
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)
s3000
Diabetic indicator; retinal eye exam, dilated, bilateral
s3005
Performance measurement, evaluation of patient self assessment, depression
s3600
Stat laboratory request (situations other than s3601)
s3601
Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility
s3620
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total)
s3630
Eosinophil count, blood, direct
s3645
Hiv-1 antibody testing of oral mucosal transudate
s3650
Saliva test, hormone level; during menopause
s3652
Saliva test, hormone level; to assess preterm labor risk
s3655
Antisperm antibodies test (immunobead)
s3708
Gastrointestinal fat absorption study
s3721
Prostate cancer antigen 3 (pca3) testing
s3722
Dose optimization by area under the curve (auc) analysis, for infusional 5-fluorouracil
s3800
Genetic testing for amyotrophic lateral sclerosis (als)
s3840
Dna analysis for germline mutations of the ret proto-oncogene for susceptibility to multiple endocrine neoplasia type 2
s3841
Genetic testing for retinoblastoma
s3842
Genetic testing for von hippel-lindau disease
s3844
Dna analysis of the connexin 26 gene (gjb2) for susceptibility to congenital, profound deafness
s3845
Genetic testing for alpha-thalassemia
s3846
Genetic testing for hemoglobin e beta-thalassemia
s3849
Genetic testing for niemann-pick disease
s3850
Genetic testing for sickle cell anemia
s3852
Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer's disease
s3853
Genetic testing for myotonic muscular dystrophy
s3854
Gene expression profiling panel for use in the management of breast cancer treatment
s3855
Genetic testing for detection of mutations in the presenilin - 1 gene
s3861
Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a) and variants for suspected brugada syndrome
s3865
Comprehensive gene sequence analysis for hypertrophic cardiomyopathy
s3866
Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (hcm) in an individual with a known hcm mutation in the family
s3870
Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability
s3890
Dna analysis, fecal, for colorectal cancer screening
s3900
Surface electromyography (emg)
s3902
Ballistocardiogram
s3904
Masters two step
s4005
Interim labor facility global (labor occurring but not resulting in delivery)
s4011
In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development
s4013
Complete cycle, gamete intrafallopian transfer (gift), case rate
s4014
Complete cycle, zygote intrafallopian transfer (zift), case rate
s4015
Complete in vitro fertilization cycle, not otherwise specified, case rate
s4016
Frozen in vitro fertilization cycle, case rate
s4017
Incomplete cycle, treatment cancelled prior to stimulation, case rate
s4018
Frozen embryo transfer procedure cancelled before transfer, case rate
s4020
In vitro fertilization procedure cancelled before aspiration, case rate
s4021
In vitro fertilization procedure cancelled after aspiration, case rate
s4022
Assisted oocyte fertilization, case rate
s4023
Donor egg cycle, incomplete, case rate
s4025
Donor services for in vitro fertilization (sperm or embryo), case rate
s4026
Procurement of donor sperm from sperm bank
s4027
Storage of previously frozen embryos
s4028
Microsurgical epididymal sperm aspiration (mesa)
s4030
Sperm procurement and cryopreservation services; initial visit
s4031
Sperm procurement and cryopreservation services; subsequent visit
s4035
Stimulated intrauterine insemination (iui), case rate
s4037
Cryopreserved embryo transfer, case rate
s4040
Monitoring and storage of cryopreserved embryos, per 30 days
s4042
Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle
s4981
Insertion of levonorgestrel-releasing intrauterine system
s4989
Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies
s4990
Nicotine patches, legend
s4991
Nicotine patches, non-legend
s4993
Contraceptive pills for birth control
s4995
Smoking cessation gum
s5000
Prescription drug, generic
s5001
Prescription drug, brand name
s5010
5% dextrose and 0.45% normal saline, 1000 ml
s5011
5% dextrose in lactated ringer's, 1000 ml
s5012
5% dextrose with potassium chloride, 1000 ml
s5013
5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml
s5014
5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml
s5035
Home infusion therapy, routine service of infusion device (e.g., pump maintenance)
s5036
Home infusion therapy, repair of infusion device (e.g., pump repair)
s5100
Day care services, adult; per 15 minutes
s5101
Day care services, adult; per half day
s5102
Day care services, adult; per diem
s5105
Day care services, center-based; services not included in program fee, per diem
s5108
Home care training to home care client, per 15 minutes
s5109
Home care training to home care client, per session
s5110
Home care training, family; per 15 minutes
s5111
Home care training, family; per session
s5115
Home care training, non-family; per 15 minutes
s5116
Home care training, non-family; per session
s5120
Chore services; per 15 minutes
s5121
Chore services; per diem
s5125
Attendant care services; per 15 minutes
s5126
Attendant care services; per diem
s5130
Homemaker service, nos; per 15 minutes
s5131
Homemaker service, nos; per diem
s5135
Companion care, adult (e.g., iadl/adl); per 15 minutes
s5136
Companion care, adult (e.g., iadl/adl); per diem
s5140
Foster care, adult; per diem
s5141
Foster care, adult; per month
s5145
Foster care, therapeutic, child; per diem
s5146
Foster care, therapeutic, child; per month
s5150
Unskilled respite care, not hospice; per 15 minutes
s5151
Unskilled respite care, not hospice; per diem
s5160
Emergency response system; installation and testing
s5161
Emergency response system; service fee, per month (excludes installation and testing)
s5162
Emergency response system; purchase only
s5165
Home modifications; per service
s5170
Home delivered meals, including preparation; per meal
s5175
Laundry service, external, professional; per order
s5180
Home health respiratory therapy, initial evaluation
s5181
Home health respiratory therapy, nos, per diem
s5185
Medication reminder service, non-face-to-face; per month
s5190
Wellness assessment, performed by non-physician
s5199
Personal care item, nos, each
s5497
Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s5498
Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem
s5501
Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s5502
Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use)
s5517
Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting
s5518
Home infusion therapy, all supplies necessary for catheter repair
s5520
Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion
s5521
Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion
s5522
Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included)
s5523
Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)
s5550
Insulin, rapid onset, 5 units
s5551
Insulin, most rapid onset (lispro or aspart); 5 units
s5552
Insulin, intermediate acting (nph or lente); 5 units
s5553
Insulin, long acting; 5 units
s5560
Insulin delivery device, reusable pen; 1.5 ml size
s5561
Insulin delivery device, reusable pen; 3 ml size
s5565
Insulin cartridge for use in insulin delivery device other than pump; 150 units
s5566
Insulin cartridge for use in insulin delivery device other than pump; 300 units
s5570
Insulin delivery device, disposable pen (including insulin); 1.5 ml size
s5571
Insulin delivery device, disposable pen (including insulin); 3 ml size
s8030
Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy
s8032
Low-dose computed tomography for lung cancer screening
s8035
Magnetic source imaging
s8037
Magnetic resonance cholangiopancreatography (mrcp)
s8040
Topographic brain mapping
s8042
Magnetic resonance imaging (mri), low-field
s8055
Ultrasound guidance for multifetal pregnancy reduction(s), technical component (only to be used when the physician doing the reduction procedure does not perform the ultrasound, guidance is included in the cpt code for multifetal pregnancy reduction - 59866)
s8080
Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical
s8085
Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan)
s8092
Electron beam computed tomography (also known as ultrafast ct, cine ct)
s8096
Portable peak flow meter
s8097
Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer)
s8100
Holding chamber or spacer for use with an inhaler or nebulizer; without mask
s8101
Holding chamber or spacer for use with an inhaler or nebulizer; with mask
s8110
Peak expiratory flow rate (physician services)
s8120
Oxygen contents, gaseous, 1 unit equals 1 cubic foot
s8121
Oxygen contents, liquid, 1 unit equals 1 pound
s8130
Interferential current stimulator, 2 channel
s8131
Interferential current stimulator, 4 channel
s8185
Flutter device
s8186
Swivel adapter
s8189
Tracheostomy supply, not otherwise classified
s8210
Mucus trap
s8262
Mandibular orthopedic repositioning device, each
s8265
Haberman feeder for cleft lip/palate
s8270
Enuresis alarm, using auditory buzzer and/or vibration device
s8301
Infection control supplies, not otherwise specified
s8415
Supplies for home delivery of infant
s8420
Gradient pressure aid (sleeve and glove combination), custom made
s8421
Gradient pressure aid (sleeve and glove combination), ready made
s8422
Gradient pressure aid (sleeve), custom made, medium weight
s8423
Gradient pressure aid (sleeve), custom made, heavy weight
s8424
Gradient pressure aid (sleeve), ready made
s8425
Gradient pressure aid (glove), custom made, medium weight
s8426
Gradient pressure aid (glove), custom made, heavy weight
s8427
Gradient pressure aid (glove), ready made
s8428
Gradient pressure aid (gauntlet), ready made
s8429
Gradient pressure exterior wrap
s8430
Padding for compression bandage, roll
s8431
Compression bandage, roll
s8450
Splint, prefabricated, digit (specify digit by use of modifier)
s8451
Splint, prefabricated, wrist or ankle
s8452
Splint, prefabricated, elbow
s8460
Camisole, post-mastectomy
s8490
Insulin syringes (100 syringes, any size)
s8930
Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with the patient
s8940
Equestrian/hippotherapy, per session
s8948
Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes
s8950
Complex lymphedema therapy, each 15 minutes
s8990
Physical or manipulative therapy performed for maintenance rather than restoration
s8999
Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event)
s9001
Home uterine monitor with or without associated nursing services
s9007
Ultrafiltration monitor
s9015
Automated eeg monitoring
s9024
Paranasal sinus ultrasound
s9025
Omnicardiogram/cardiointegram
s9034
Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265)
s9055
Procuren or other growth factor preparation to promote wound healing
s9056
Coma stimulation per diem
s9061
Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9083
Global fee urgent care centers
s9088
Services provided in an urgent care center (list in addition to code for service)
s9090
Vertebral axial decompression, per session
s9097
Home visit for wound care
s9098
Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem
s9110
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month
s9117
Back school, per visit
s9122
Home health aide or certified nurse assistant, providing care in the home; per hour
s9123
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)
s9124
Nursing care, in the home; by licensed practical nurse, per hour
s9125
Respite care, in the home, per diem
s9126
Hospice care, in the home, per diem
s9127
Social work visit, in the home, per diem
s9128
Speech therapy, in the home, per diem
s9129
Occupational therapy, in the home, per diem
s9131
Physical therapy; in the home, per diem
s9140
Diabetic management program, follow-up visit to non-md provider
s9141
Diabetic management program, follow-up visit to md provider
s9145
Insulin pump initiation, instruction in initial use of pump (pump not included)
s9150
Evaluation by ocularist
s9152
Speech therapy, re-evaluation
s9208
Home management of preterm labor, including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)
s9209
Home management of preterm premature rupture of membranes (pprom), including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)
s9211
Home management of gestational hypertension, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code)
s9212
Home management of postpartum hypertension, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)
s9213
Home management of preeclampsia, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately); per diem (do not use this code with any home infusion per diem code)
s9214
Home management of gestational diabetes, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code)
s9325
Home infusion therapy, pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (do not use this code with s9326, s9327 or s9328)
s9326
Home infusion therapy, continuous (twenty-four hours or more) pain management infusion; administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9327
Home infusion therapy, intermittent (less than twenty-four hours) pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9328
Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9329
Home infusion therapy, chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with s9330 or s9331)
s9330
Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9331
Home infusion therapy, intermittent (less than twenty-four hours) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9335
Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem
s9336
Home infusion therapy, continuous anticoagulant infusion therapy (e.g., heparin), administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9338
Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9339
Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9340
Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem
s9341
Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem
s9342
Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem
s9343
Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem
s9345
Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor viii); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9346
Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9347
Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or subcutaneous infusion therapy (e.g., epoprostenol); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9348
Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9349
Home infusion therapy, tocolytic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9351
Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem
s9353
Home infusion therapy, continuous insulin infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9355
Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9357
Home infusion therapy, enzyme replacement intravenous therapy; (e.g., imiglucerase); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9359
Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9361
Home infusion therapy, diuretic intravenous therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9363
Home infusion therapy, anti-spasmotic therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9364
Home infusion therapy, total parenteral nutrition (tpn); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem (do not use with home infusion codes s9365-s9368 using daily volume scales)
s9365
Home infusion therapy, total parenteral nutrition (tpn); one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem
s9366
Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem
s9367
Home infusion therapy, total parenteral nutrition (tpn); more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem
s9368
Home infusion therapy, total parenteral nutrition (tpn); more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem
s9370
Home therapy, intermittent anti-emetic injection therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9372
Home therapy; intermittent anticoagulant injection therapy (e.g., heparin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code for flushing of infusion devices with heparin to maintain patency)
s9373
Home infusion therapy, hydration therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use with hydration therapy codes s9374-s9377 using daily volume scales)
s9374
Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9375
Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9376
Home infusion therapy, hydration therapy; more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9377
Home infusion therapy, hydration therapy; more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies (drugs and nursing visits coded separately), per diem
s9379
Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9381
Delivery or service to high risk areas requiring escort or extra protection, per visit
s9401
Anticoagulation clinic, inclusive of all services except laboratory tests, per session
s9430
Pharmacy compounding and dispensing services
s9432
Medical foods for non-inborn errors of metabolism
s9433
Medical food nutritionally complete, administered orally, providing 100% of nutritional intake
s9434
Modified solid food supplements for inborn errors of metabolism
s9435
Medical foods for inborn errors of metabolism
s9436
Childbirth preparation/lamaze classes, non-physician provider, per session
s9437
Childbirth refresher classes, non-physician provider, per session
s9438
Cesarean birth classes, non-physician provider, per session
s9439
Vbac (vaginal birth after cesarean) classes, non-physician provider, per session
s9441
Asthma education, non-physician provider, per session
s9442
Birthing classes, non-physician provider, per session
s9443
Lactation classes, non-physician provider, per session
s9444
Parenting classes, non-physician provider, per session
s9445
Patient education, not otherwise classified, non-physician provider, individual, per session
s9446
Patient education, not otherwise classified, non-physician provider, group, per session
s9447
Infant safety (including cpr) classes, non-physician provider, per session
s9449
Weight management classes, non-physician provider, per session
s9451
Exercise classes, non-physician provider, per session
s9452
Nutrition classes, non-physician provider, per session
s9453
Smoking cessation classes, non-physician provider, per session
s9454
Stress management classes, non-physician provider, per session
s9455
Diabetic management program, group session
s9460
Diabetic management program, nurse visit
s9465
Diabetic management program, dietitian visit
s9470
Nutritional counseling, dietitian visit
s9472
Cardiac rehabilitation program, non-physician provider, per diem
s9473
Pulmonary rehabilitation program, non-physician provider, per diem
s9474
Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem
s9475
Ambulatory setting substance abuse treatment or detoxification services, per diem
s9476
Vestibular rehabilitation program, non-physician provider, per diem
s9480
Intensive outpatient psychiatric services, per diem
s9482
Family stabilization services, per 15 minutes
s9484
Crisis intervention mental health services, per hour
s9485
Crisis intervention mental health services, per diem
s9490
Home infusion therapy, corticosteroid infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9494
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504)
s9497
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9500
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9501
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9502
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9503
Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9504
Home infusion therapy, antibiotic, antiviral, or antifungal; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9529
Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient
s9537
Home therapy; hematopoietic hormone injection therapy (e.g., erythropoietin, g-csf, gm-csf); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9538
Home transfusion of blood product(s); administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (blood products, drugs, and nursing visits coded separately), per diem
s9542
Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9558
Home injectable therapy; growth hormone, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9559
Home injectable therapy, interferon, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9560
Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9562
Home injectable therapy, palivizumab, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9590
Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
s9810
Home therapy; professional pharmacy services for provision of infusion, specialty drug administration, and/or disease state management, not otherwise classified, per hour (do not use this code with any per diem code)
s9900
Services by a journal-listed christian science practitioner for the purpose of healing, per diem
s9901
Services by a journal-listed christian science nurse, per hour
s9960
Ambulance service, conventional air service, nonemergency transport, one way (fixed wing)
s9961
Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)
s9970
Health club membership, annual
s9975
Transplant related lodging, meals and transportation, per diem
s9976
Lodging, per diem, not otherwise classified
s9977
Meals, per diem, not otherwise specified
s9981
Medical records copying fee, administrative
s9982
Medical records copying fee, per page
s9986
Not medically necessary service (patient is aware that service not medically necessary)
s9988
Services provided as part of a phase i clinical trial
s9989
Services provided outside of the united states of america (list in addition to code(s) for service(s))
s9990
Services provided as part of a phase ii clinical trial
s9991
Services provided as part of a phase iii clinical trial
s9992
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
s9994
Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion
s9996
Meals for clinical trial participant and one caregiver/companion
s9999
Sales tax

S Codes

Codes

s0012

s0013

s0014

s0017

s0020

s0021

s0023

s0028

s0030

s0032

s0034

s0039

s0040

s0073

s0074

s0077

s0078

s0080

s0081

s0088

s0090

s0091

s0092

s0093

s0104

s0106

s0108

s0109

s0117

s0119

s0122

s0126

s0128

s0132

s0136

s0137

s0138

s0139

s0140

s0142

s0144

s0145

s0148

s0155

s0156

s0157

s0160

s0164

s0166

s0169

s0170

s0171

s0172

s0174

s0175

s0176

s0177

s0178

s0179

s0182

s0183

s0187

s0189

s0190

s0191

s0194

s0195

s0197

s0199

s0201

s0207

s0208

s0209

s0215

s0220

s0221

s0250

s0255