HCPCS Level II · Temporary national codes (non-Medicare)
S0195Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine
Terminated 12/31/2015
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About S0195
S0195 is an HCPCS Level II code in the S series (temporary national codes (non-Medicare)), describing pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine.
It was added to HCPCS effective 01/01/2003, and its current record took effect 01/01/2016.
It was terminated on 12/31/2015 and can't be billed for later dates of service.
Its Medicare coverage code is "I", meaning it is not payable by Medicare (another code or method is used).
Details
- Short description
- Pneumo vaccine 5-9 yrs
- Date added
- 01/01/2003
- Action effective
- 01/01/2016
- Termination date
- 12/31/2015
- BETOS
- Z2
Related S01xx codes
- 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
Common questions about S0195
Is HCPCS S0195 still valid?
- No. S0195 was terminated on 12/31/2015.
Does Medicare cover S0195?
- Its coverage code is "I": it is not payable by Medicare (another code or method is used). Check the local coverage determination for your region.