HCPCS Level II · 505 active codes
S codes: Temporary national codes (non-Medicare)
- S0012Butorphanol tartrate, nasal spray, 25 mg
- S0013Esketamine, nasal spray, 1 mg
- S0014Tacrine hydrochloride, 10 mg
- S0017Injection, aminocaproic acid, 5 grams
- S0020Injection, bupivicaine hydrochloride, 30 ml
- S0021Injection, cefoperazone sodium, 1 gram
- S0023Injection, cimetidine hydrochloride, 300 mg
- S0028Injection, famotidine, 20 mg
- S0030Injection, metronidazole, 500 mg
- S0032Injection, nafcillin sodium, 2 grams
- S0034Injection, ofloxacin, 400 mg
- S0039Injection, sulfamethoxazole and trimethoprim, 10 ml
- S0040Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams
- S0073Injection, aztreonam, 500 mg
- S0074Injection, cefotetan disodium, 500 mg
- S0077Injection, clindamycin phosphate, 300 mg
- S0078Injection, fosphenytoin sodium, 750 mg
- S0080Injection, pentamidine isethionate, 300 mg
- S0081Injection, piperacillin sodium, 500 mg
- S0088Imatinib, 100 mg
- S0090Sildenafil citrate, 25 mg
- S0091Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166)
- S0092Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump)
- S0093Injection, morphine sulfate, 500 mg (loading dose for infusion pump)
- S0104Zidovudine, oral, 100 mg
- S0106Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets
- S0108Mercaptopurine, oral, 50 mg
- S0109Methadone, oral, 5 mg
- S0117Tretinoin, topical, 5 grams
- S0119Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)
- S0122Injection, menotropins, 75 iu
- S0126Injection, follitropin alfa, 75 iu
- S0128Injection, follitropin beta, 75 iu
- S0132Injection, ganirelix acetate, 250 mcg
- S0136Clozapine, 25 mg
- S0137Didanosine (ddi), 25 mg
- S0138Finasteride, 5 mg
- S0139Minoxidil, 10 mg
- S0140Saquinavir, 200 mg
- S0142Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg
- S0144Injection, propofol, 10 mg
- S0145Injection, pegylated interferon alfa-2a, 180 mcg per ml
- S0148Injection, pegylated interferon alfa-2b, 10 mcg
- S0155Sterile dilutant for epoprostenol, 50 ml
- S0156Exemestane, 25 mg
- S0157Becaplermin gel 0.01%, 0.5 gm
- S0160Dextroamphetamine sulfate, 5 mg
- S0164Injection, pantoprazole sodium, 40 mg
- S0166Injection, olanzapine, 2.5 mg
- S0169Calcitrol, oral, 0.25 microgram
- S0170Anastrozole, oral, 1 mg
- S0171Injection, bumetanide, 0.5 mg
- S0172Chlorambucil, oral, 2 mg
- S0174Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)
- S0175Flutamide, oral, 125 mg
- S0176Hydroxyurea, oral, 500 mg
- S0177Levamisole hydrochloride, oral, 50 mg
- S0178Lomustine, oral, 10 mg
- S0179Megestrol acetate, oral, 20 mg
- S0182Procarbazine hydrochloride, oral, 50 mg
- S0183Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)
- S0187Tamoxifen citrate, oral, 10 mg
- S0189Testosterone pellet, 75 mg
- S0190Mifepristone, oral, 200 mg
- S0191Misoprostol, oral, 200 mcg
- S0194Dialysis/stress vitamin supplement, oral, 100 capsules
- S0195Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine
- S0197Prenatal vitamins, 30-day supply
- S0199Medically 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
- S0201Partial hospitalization services, less than 24 hours, per diem
- S0207Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport
- S0208Paramedic intercept, hospital-based als service (non-voluntary), non-transport
- S0209Wheelchair van, mileage, per mile
- S0215Non-emergency transportation; mileage, per mile
- S0220Medical 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
- S0221Medical 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
- S0250Comprehensive geriatric assessment and treatment planning performed by assessment team
- S0255Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff
- S0257Counseling 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)
- S0260History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)
- S0265Genetic counseling, under physician supervision, each 15 minutes
- S0270Physician management of patient home care, standard monthly case rate (per 30 days)
- S0271Physician management of patient home care, hospice monthly case rate (per 30 days)
- S0272Physician management of patient home care, episodic care monthly case rate (per 30 days)
- S0273Physician visit at member's home, outside of a capitation arrangement
- S0274Nurse practitioner visit at member's home, outside of a capitation arrangement
- S0280Medical home program, comprehensive care coordination and planning, initial plan
- S0281Medical home program, comprehensive care coordination and planning, maintenance of plan
- S0285Colonoscopy consultation performed prior to a screening colonoscopy procedure
- S0302Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)
- S0310Hospitalist services (list separately in addition to code for appropriate evaluation and management service)
- S0311Comprehensive management and care coordination for advanced illness, per calendar month
- S0315Disease management program; initial assessment and initiation of the program
- S0316Disease management program, follow-up/reassessment
- S0317Disease management program; per diem
- S0320Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month
- S0340Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage
- S0341Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage
- S0342Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage
- S0353Treatment planning and care coordination management for cancer, initial treatment
- S0354Treatment planning and care coordination management for cancer, established patient with a change of regimen
- S0390Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit
- S0395Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic
- S0400Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)
- S0500Disposable contact lens, per lens
- S0504Single vision prescription lens (safety, athletic, or sunglass), per lens
- S0506Bifocal vision prescription lens (safety, athletic, or sunglass), per lens
- S0508Trifocal vision prescription lens (safety, athletic, or sunglass), per lens
- S0510Non-prescription lens (safety, athletic, or sunglass), per lens
- S0512Daily wear specialty contact lens, per lens
- S0514Color contact lens, per lens
- S0515Scleral lens, liquid bandage device, per lens
- S0516Safety eyeglass frames
- S0518Sunglasses frames
- S0580Polycarbonate lens (list this code in addition to the basic code for the lens)
- S0581Nonstandard lens (list this code in addition to the basic code for the lens)
- S0590Integral lens service, miscellaneous services reported separately
- S0592Comprehensive contact lens evaluation
- S0595Dispensing new spectacle lenses for patient supplied frame
- S0596Phakic intraocular lens for correction of refractive error
- S0601Screening proctoscopy
- S0610Annual gynecological examination, new patient
- S0612Annual gynecological examination, established patient
- S0613Annual gynecological examination; clinical breast examination without pelvic evaluation
- S0618Audiometry for hearing aid evaluation to determine the level and degree of hearing loss
- S0620Routine ophthalmological examination including refraction; new patient
- S0621Routine ophthalmological examination including refraction; established patient
- S0622Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)
- S0630Removal of sutures; by a physician other than the physician who originally closed the wound
- S0800Laser in situ keratomileusis (lasik)
- S0810Photorefractive keratectomy (prk)
- S0812Phototherapeutic keratectomy (ptk)
- S1001Deluxe item, patient aware (list in addition to code for basic item)
- S1002Customized item (list in addition to code for basic item)
- S1015Iv tubing extension set
- S1016Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel
- S1030Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt code)
- S1031Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code)
- S1034Artificial 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
- S1035Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system
- S1036Transmitter; external, for use with artificial pancreas device system
- S1037Receiver (monitor); external, for use with artificial pancreas device system
- S1040Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)
- S1090Mometasone furoate sinus implant, 370 micrograms
- S1091Stent, non-coronary, temporary, with delivery system (propel)
- S2053Transplantation of small intestine and liver allografts
- S2054Transplantation of multivisceral organs
- S2055Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor
- S2060Lobar lung transplantation
- S2061Donor lobectomy (lung) for transplantation, living donor
- S2065Simultaneous pancreas kidney transplantation
- S2066Breast 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
- S2067Breast 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
- S2068Breast 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
- S2070Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization)
- S2079Laparoscopic esophagomyotomy (heller type)
- S2080Laser-assisted uvulopalatoplasty (laup)
- S2083Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline
- S2095Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres
- S2102Islet cell tissue transplant from pancreas; allogeneic
- S2103Adrenal tissue transplant to brain
- S2107Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment
- S2112Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)
- S2115Osteotomy, periacetabular, with internal fixation
- S2117Arthroereisis, subtalar
- S2118Metal-on-metal total hip resurfacing, including acetabular and femoral components
- S2120Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation
- S2140Cord blood harvesting for transplantation, allogeneic
- S2142Cord blood-derived stem-cell transplantation, allogeneic
- S2150Bone 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
- S2152Solid 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
- S2202Echosclerotherapy
- S2205Minimally 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
- S2206Minimally 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
- S2207Minimally 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
- S2208Minimally 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
- S2209Minimally 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
- S2225Myringotomy, laser-assisted
- S2230Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear
- S2235Implantation of auditory brain stem implant
- S2260Induced abortion, 17 to 24 weeks
- S2265Induced abortion, 25 to 28 weeks
- S2266Induced abortion, 29 to 31 weeks
- S2267Induced abortion, 32 weeks or greater
- S2300Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy
- S2325Hip core decompression
- S2340Chemodenervation of abductor muscle(s) of vocal cord
- S2341Chemodenervation of adductor muscle(s) of vocal cord
- S2342Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral
- S2348Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar
- S2350Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace
- S2351Diskectomy, 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)
- S2360Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; cervical
- S2361Each additional cervical vertebral body (list separately in addition to code for primary procedure)
- S2400Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero
- S2401Repair, urinary tract obstruction in the fetus, procedure performed in utero
- S2402Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero
- S2403Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero
- S2404Repair, myelomeningocele in the fetus, procedure performed in utero
- S2405Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero
- S2409Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified
- S2411Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome
- S2900Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)
- S3000Diabetic indicator; retinal eye exam, dilated, bilateral
- S3005Performance measurement, evaluation of patient self assessment, depression
- S3600Stat laboratory request (situations other than s3601)
- S3601Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility
- S3620Newborn 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)
- S3630Eosinophil count, blood, direct
- S3645Hiv-1 antibody testing of oral mucosal transudate
- S3650Saliva test, hormone level; during menopause
- S3652Saliva test, hormone level; to assess preterm labor risk
- S3655Antisperm antibodies test (immunobead)
- S3708Gastrointestinal fat absorption study
- S3721Prostate cancer antigen 3 (pca3) testing
- S3722Dose optimization by area under the curve (auc) analysis, for infusional 5-fluorouracil
- S3800Genetic testing for amyotrophic lateral sclerosis (als)
- S3840Dna analysis for germline mutations of the ret proto-oncogene for susceptibility to multiple endocrine neoplasia type 2
- S3841Genetic testing for retinoblastoma
- S3842Genetic testing for von hippel-lindau disease
- S3844Dna analysis of the connexin 26 gene (gjb2) for susceptibility to congenital, profound deafness
- S3845Genetic testing for alpha-thalassemia
- S3846Genetic testing for hemoglobin e beta-thalassemia
- S3849Genetic testing for niemann-pick disease
- S3850Genetic testing for sickle cell anemia
- S3852Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer's disease
- S3853Genetic testing for myotonic muscular dystrophy
- S3854Gene expression profiling panel for use in the management of breast cancer treatment
- S3855Genetic testing for detection of mutations in the presenilin - 1 gene
- S3861Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a) and variants for suspected brugada syndrome
- S3865Comprehensive gene sequence analysis for hypertrophic cardiomyopathy
- S3866Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (hcm) in an individual with a known hcm mutation in the family
- S3870Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability
- S3890Dna analysis, fecal, for colorectal cancer screening
- S3900Surface electromyography (emg)
- S3902Ballistocardiogram
- S3904Masters two step
- S4005Interim labor facility global (labor occurring but not resulting in delivery)
- S4011In 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
- S4013Complete cycle, gamete intrafallopian transfer (gift), case rate
- S4014Complete cycle, zygote intrafallopian transfer (zift), case rate
- S4015Complete in vitro fertilization cycle, not otherwise specified, case rate
- S4016Frozen in vitro fertilization cycle, case rate
- S4017Incomplete cycle, treatment cancelled prior to stimulation, case rate
- S4018Frozen embryo transfer procedure cancelled before transfer, case rate
- S4020In vitro fertilization procedure cancelled before aspiration, case rate
- S4021In vitro fertilization procedure cancelled after aspiration, case rate
- S4022Assisted oocyte fertilization, case rate
- S4023Donor egg cycle, incomplete, case rate
- S4024Air polymer-type a intrauterine foam, per study dose
- S4025Donor services for in vitro fertilization (sperm or embryo), case rate
- S4026Procurement of donor sperm from sperm bank
- S4027Storage of previously frozen embryos
- S4028Microsurgical epididymal sperm aspiration (mesa)
- S4030Sperm procurement and cryopreservation services; initial visit
- S4031Sperm procurement and cryopreservation services; subsequent visit
- S4035Stimulated intrauterine insemination (iui), case rate
- S4037Cryopreserved embryo transfer, case rate
- S4040Monitoring and storage of cryopreserved embryos, per 30 days
- S4042Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle
- S4981Insertion of levonorgestrel-releasing intrauterine system
- S4988Penile contracture device, manual, greater than 3 lbs traction force
- S4989Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies
- S4990Nicotine patches, legend
- S4991Nicotine patches, non-legend
- S4993Contraceptive pills for birth control
- S4995Smoking cessation gum
- S5000Prescription drug, generic
- S5001Prescription drug, brand name
- S50105% dextrose and 0.45% normal saline, 1000 ml
- S50115% dextrose in lactated ringer's, 1000 ml
- S50125% dextrose with potassium chloride, 1000 ml
- S50135% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml
- S50145% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml
- S5035Home infusion therapy, routine service of infusion device (e.g., pump maintenance)
- S5036Home infusion therapy, repair of infusion device (e.g., pump repair)
- S5100Day care services, adult; per 15 minutes
- S5101Day care services, adult; per half day
- S5102Day care services, adult; per diem
- S5105Day care services, center-based; services not included in program fee, per diem
- S5108Home care training to home care client, per 15 minutes
- S5109Home care training to home care client, per session
- S5110Home care training, family; per 15 minutes
- S5111Home care training, family; per session
- S5115Home care training, non-family; per 15 minutes
- S5116Home care training, non-family; per session
- S5120Chore services; per 15 minutes
- S5121Chore services; per diem
- S5125Attendant care services; per 15 minutes
- S5126Attendant care services; per diem
- S5130Homemaker service, nos; per 15 minutes
- S5131Homemaker service, nos; per diem
- S5135Companion care, adult (e.g., iadl/adl); per 15 minutes
- S5136Companion care, adult (e.g., iadl/adl); per diem
- S5140Foster care, adult; per diem
- S5141Foster care, adult; per month
- S5145Foster care, therapeutic, child; per diem
- S5146Foster care, therapeutic, child; per month
- S5150Unskilled respite care, not hospice; per 15 minutes
- S5151Unskilled respite care, not hospice; per diem
- S5160Emergency response system; installation and testing
- S5161Emergency response system; service fee, per month (excludes installation and testing)
- S5162Emergency response system; purchase only
- S5165Home modifications; per service
- S5170Home delivered meals, including preparation; per meal
- S5175Laundry service, external, professional; per order
- S5180Home health respiratory therapy, initial evaluation
- S5181Home health respiratory therapy, nos, per diem
- S5185Medication reminder service, non-face-to-face; per month
- S5190Wellness assessment, performed by non-physician
- S5199Personal care item, nos, each
- S5497Home 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
- S5498Home 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
- S5501Home 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
- S5502Home 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)
- S5517Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting
- S5518Home infusion therapy, all supplies necessary for catheter repair
- S5520Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion
- S5521Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion
- S5522Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included)
- S5523Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)
- S5550Insulin, rapid onset, 5 units
- S5551Insulin, most rapid onset (lispro or aspart); 5 units
- S5552Insulin, intermediate acting (nph or lente); 5 units
- S5553Insulin, long acting; 5 units
- S5560Insulin delivery device, reusable pen; 1.5 ml size
- S5561Insulin delivery device, reusable pen; 3 ml size
- S5565Insulin cartridge for use in insulin delivery device other than pump; 150 units
- S5566Insulin cartridge for use in insulin delivery device other than pump; 300 units
- S5570Insulin delivery device, disposable pen (including insulin); 1.5 ml size
- S5571Insulin delivery device, disposable pen (including insulin); 3 ml size
- S8030Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy
- S8032Low-dose computed tomography for lung cancer screening
- S8035Magnetic source imaging
- S8037Magnetic resonance cholangiopancreatography (mrcp)
- S8040Topographic brain mapping
- S8042Magnetic resonance imaging (mri), low-field
- S8055Ultrasound 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)
- S8080Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical
- S8085Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan)
- S8092Electron beam computed tomography (also known as ultrafast ct, cine ct)
- S8096Portable peak flow meter
- S8097Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer)
- S8100Holding chamber or spacer for use with an inhaler or nebulizer; without mask
- S8101Holding chamber or spacer for use with an inhaler or nebulizer; with mask
- S8110Peak expiratory flow rate (physician services)
- S8120Oxygen contents, gaseous, 1 unit equals 1 cubic foot
- S8121Oxygen contents, liquid, 1 unit equals 1 pound
- S8130Interferential current stimulator, 2 channel
- S8131Interferential current stimulator, 4 channel
- S8185Flutter device
- S8186Swivel adapter
- S8189Tracheostomy supply, not otherwise classified
- S8210Mucus trap
- S8262Mandibular orthopedic repositioning device, each
- S8265Haberman feeder for cleft lip/palate
- S8270Enuresis alarm, using auditory buzzer and/or vibration device
- S8301Infection control supplies, not otherwise specified
- S8415Supplies for home delivery of infant
- S8420Gradient pressure aid (sleeve and glove combination), custom made
- S8421Gradient pressure aid (sleeve and glove combination), ready made
- S8422Gradient pressure aid (sleeve), custom made, medium weight
- S8423Gradient pressure aid (sleeve), custom made, heavy weight
- S8424Gradient pressure aid (sleeve), ready made
- S8425Gradient pressure aid (glove), custom made, medium weight
- S8426Gradient pressure aid (glove), custom made, heavy weight
- S8427Gradient pressure aid (glove), ready made
- S8428Gradient pressure aid (gauntlet), ready made
- S8429Gradient pressure exterior wrap
- S8430Padding for compression bandage, roll
- S8431Compression bandage, roll
- S8450Splint, prefabricated, digit (specify digit by use of modifier)
- S8451Splint, prefabricated, wrist or ankle
- S8452Splint, prefabricated, elbow
- S8460Camisole, post-mastectomy
- S8490Insulin syringes (100 syringes, any size)
- S8930Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with the patient
- S8940Equestrian/hippotherapy, per session
- S8948Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes
- S8950Complex lymphedema therapy, each 15 minutes
- S8990Physical or manipulative therapy performed for maintenance rather than restoration
- S8999Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event)
- S9001Home uterine monitor with or without associated nursing services
- S9002Intra-vaginal motion sensor system, provides biofeedback for pelvic floor muscle rehabilitation device
- S9007Ultrafiltration monitor
- S9015Automated eeg monitoring
- S9024Paranasal sinus ultrasound
- S9025Omnicardiogram/cardiointegram
- S9034Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265)
- S9055Procuren or other growth factor preparation to promote wound healing
- S9056Coma stimulation per diem
- S9061Home 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
- S9083Global fee urgent care centers
- S9088Services provided in an urgent care center (list in addition to code for service)
- S9090Vertebral axial decompression, per session
- S9097Home visit for wound care
- S9098Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem
- S9110Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month
- S9117Back school, per visit
- S9122Home health aide or certified nurse assistant, providing care in the home; per hour
- S9123Nursing 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)
- S9124Nursing care, in the home; by licensed practical nurse, per hour
- S9125Respite care, in the home, per diem
- S9126Hospice care, in the home, per diem
- S9127Social work visit, in the home, per diem
- S9128Speech therapy, in the home, per diem
- S9129Occupational therapy, in the home, per diem
- S9131Physical therapy; in the home, per diem
- S9140Diabetic management program, follow-up visit to non-md provider
- S9141Diabetic management program, follow-up visit to md provider
- S9145Insulin pump initiation, instruction in initial use of pump (pump not included)
- S9150Evaluation by ocularist
- S9152Speech therapy, re-evaluation
- S9208Home 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)
- S9209Home 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)
- S9211Home 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)
- S9212Home 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)
- S9213Home 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)
- S9214Home 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)
- S9325Home 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)
- S9326Home 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
- S9327Home 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
- S9328Home 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
- S9329Home 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)
- S9330Home 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
- S9331Home 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
- S9335Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem
- S9336Home 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
- S9338Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
- S9339Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
- S9340Home 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
- S9341Home 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
- S9342Home 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
- S9343Home 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
- S9345Home 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
- S9346Home 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
- S9347Home 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
- S9348Home 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
- S9349Home 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
- S9351Home 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
- S9353Home 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
- S9355Home 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
- S9357Home 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
- S9359Home 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
- S9361Home 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
- S9363Home 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
- S9364Home 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)
- S9365Home 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
- S9366Home 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
- S9367Home 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
- S9368Home 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
- S9370Home 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
- S9372Home 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)
- S9373Home 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)
- S9374Home 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
- S9375Home 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
- S9376Home 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
- S9377Home 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
- S9379Home 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
- S9381Delivery or service to high risk areas requiring escort or extra protection, per visit
- S9401Anticoagulation clinic, inclusive of all services except laboratory tests, per session
- S9430Pharmacy compounding and dispensing services
- 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
- S9435Medical foods for inborn errors of metabolism
- S9436Childbirth preparation/lamaze classes, non-physician provider, per session
- S9437Childbirth refresher classes, non-physician provider, per session
- S9438Cesarean birth classes, non-physician provider, per session
- S9439Vbac (vaginal birth after cesarean) classes, non-physician provider, per session
- S9441Asthma education, non-physician provider, per session
- S9442Birthing classes, non-physician provider, per session
- S9443Lactation classes, non-physician provider, per session
- S9444Parenting classes, non-physician provider, per session
- S9445Patient education, not otherwise classified, non-physician provider, individual, per session
- S9446Patient education, not otherwise classified, non-physician provider, group, per session
- S9447Infant safety (including cpr) classes, non-physician provider, per session
- S9449Weight management classes, non-physician provider, per session
- S9451Exercise classes, non-physician provider, per session
- S9452Nutrition classes, non-physician provider, per session
- S9453Smoking cessation classes, non-physician provider, per session
- S9454Stress management classes, non-physician provider, per session
- S9455Diabetic management program, group session
- S9460Diabetic management program, nurse visit
- S9465Diabetic management program, dietitian visit
- S9470Nutritional counseling, dietitian visit
- S9472Cardiac rehabilitation program, non-physician provider, per diem
- S9473Pulmonary rehabilitation program, non-physician provider, per diem
- S9474Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem
- S9475Ambulatory setting substance abuse treatment or detoxification services, per diem
- S9476Vestibular rehabilitation program, non-physician provider, per diem
- S9480Intensive outpatient psychiatric services, per diem
- S9482Family stabilization services, per 15 minutes
- S9484Crisis intervention mental health services, per hour
- S9485Crisis intervention mental health services, per diem
- S9490Home 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
- S9494Home 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)
- S9497Home 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
- S9500Home 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
- S9501Home 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
- S9502Home 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
- S9503Home 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
- S9504Home 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
- S9529Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient
- S9537Home 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
- S9538Home 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
- S9542Home 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
- S9558Home 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
- S9559Home 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
- S9560Home 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
- S9562Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
- S9563Home injectable therapy, immunotherapy, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
- S9590Home 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
- S9810Home 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)
- S9900Services by a journal-listed christian science practitioner for the purpose of healing, per diem
- S9901Services by a journal-listed christian science nurse, per hour
- S9960Ambulance service, conventional air service, nonemergency transport, one way (fixed wing)
- S9961Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)
- S9970Health club membership, annual
- S9975Transplant related lodging, meals and transportation, per diem
- S9976Lodging, per diem, not otherwise classified
- S9977Meals, per diem, not otherwise specified
- S9981Medical records copying fee, administrative
- S9982Medical records copying fee, per page
- S9986Not medically necessary service (patient is aware that service not medically necessary)
- S9988Services provided as part of a phase i clinical trial
- S9989Services provided outside of the united states of america (list in addition to code(s) for service(s))
- S9990Services provided as part of a phase ii clinical trial
- S9991Services provided as part of a phase iii clinical trial
- S9992Transportation 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
- S9994Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion
- S9996Meals for clinical trial participant and one caregiver/companion
- S9999Sales tax