HCPCS 2014

S0012 Butorphanol tartrate, nasal spray, 25 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, 1mg (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, 10mg
S0145 Injection, pegylated interferon alfa-2a, 180 mcg per ml
S0148 Injection, pegylated interferon alfa-2b, 10 mcg
S0155 Sterile dilutant for epoprostenol, 50ml
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, 1mg
S0171 Injection, bumetanide, 0.5mg
S0172 Chlorambucil, oral, 2mg
S0174 Dolasetron mesylate, oral 50mg (for circumstances falling under the medicare statute, use q0180)
S0175 Flutamide, oral, 125mg
S0176 Hydroxyurea, oral, 500mg
S0177 Levamisole hydrochloride, oral, 50mg
S0178 Lomustine, oral, 10mg
S0179 Megestrol acetate, oral, 20mg
S0182 Procarbazine hydrochloride, oral, 50mg
S0183 Prochlorperazine maleate, oral, 5mg (for circumstances falling under the medicare statute, use q0164 - q0165)
S0187 Tamoxifen citrate, oral, 10mg
S0189 Testosterone pellet, 75mg
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
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)
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 (eg, 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 (eg, 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
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; phenylanine (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
S9960 Ambulance service, conventional air services, nonemergency transport, one way (fixed wing)
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 hybrization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or mental retardation
S9961 Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)
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 adaptor
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
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
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 services(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