S Codes

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, 1 mg (for circumstances falling under the medicare statute, use q0166)

S0092

Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump)

S0093

Injection, morphine sulfate, 500 mg (loading dose for infusion pump)

S0104

Zidovudine, oral, 100 mg

S0106

Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets

S0108

Mercaptopurine, oral, 50 mg

S0109

Methadone, oral, 5 mg

S0117

Tretinoin, topical, 5 grams

S0119

Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)

S0122

Injection, menotropins, 75 iu

S0126

Injection, follitropin alfa, 75 iu

S0128

Injection, follitropin beta, 75 iu

S0132

Injection, ganirelix acetate, 250 mcg

S0136

Clozapine, 25 mg

S0137

Didanosine (ddi), 25 mg

S0138

Finasteride, 5 mg

S0139

Minoxidil, 10 mg

S0140

Saquinavir, 200 mg

S0142

Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg

S0144

Injection, propofol, 10 mg

S0145

Injection, pegylated interferon alfa-2a, 180 mcg per ml

S0148

Injection, pegylated interferon alfa-2b, 10 mcg

S0155

Sterile dilutant for epoprostenol, 50 ml

S0156

Exemestane, 25 mg

S0157

Becaplermin gel 0.01%, 0.5 gm

S0160

Dextroamphetamine sulfate, 5 mg

S0164

Injection, pantoprazole sodium, 40 mg

S0166

Injection, olanzapine, 2.5 mg

S0169

Calcitrol, 0.25 microgram

S0170

Anastrozole, oral, 1 mg

S0171

Injection, bumetanide, 0.5 mg

S0172

Chlorambucil, oral, 2 mg

S0174

Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)

S0175

Flutamide, oral, 125 mg

S0176

Hydroxyurea, oral, 500 mg

S0177

Levamisole hydrochloride, oral, 50 mg

S0178

Lomustine, oral, 10 mg

S0179

Megestrol acetate, oral, 20 mg

S0182

Procarbazine hydrochloride, oral, 50 mg

S0183

Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)

S0187

Tamoxifen citrate, oral, 10 mg

S0189

Testosterone pellet, 75 mg

S0190

Mifepristone, oral, 200 mg

S0191

Misoprostol, oral, 200 mcg

S0194

Dialysis/stress vitamin supplement, oral, 100 capsules

S0195

Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine

S0197

Prenatal vitamins, 30-day supply

S0199

Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs

S0201

Partial hospitalization services, less than 24 hours, per diem

S0207

Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport

S0208

Paramedic intercept, hospital-based als service (non-voluntary), non-transport

S0209

Wheelchair van, mileage, per mile

S0215

Non-emergency transportation; mileage, per mile

S0220

Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes

S0221

Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes

S0250

Comprehensive geriatric assessment and treatment planning performed by assessment team

S0255

Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff

S0257

Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)

S0260

History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)

S0265

Genetic counseling, under physician supervision, each 15 minutes

S0270

Physician management of patient home care, standard monthly case rate (per 30 days)

S0271

Physician management of patient home care, hospice monthly case rate (per 30 days)

S0272

Physician management of patient home care, episodic care monthly case rate (per 30 days)

S0273

Physician visit at member's home, outside of a capitation arrangement

S0274

Nurse practitioner visit at member's home, outside of a capitation arrangement

S0280

Medical home program, comprehensive care coordination and planning, initial plan

S0281

Medical home program, comprehensive care coordination and planning, maintenance of plan

S0285

Colonoscopy consultation performed prior to a screening colonoscopy procedure

S0302

Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)

S0310

Hospitalist services (list separately in addition to code for appropriate evaluation and management service)

S0311

Comprehensive management and care coordination for advanced illness, per calendar month

S0315

Disease management program; initial assessment and initiation of the program

S0316

Disease management program, follow-up/reassessment

S0317

Disease management program; per diem

S0320

Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month

S0340

Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage

S0341

Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage

S0342

Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage

S0353

Treatment planning and care coordination management for cancer, initial treatment

S0354

Treatment planning and care coordination management for cancer, established patient with a change of regimen

S0390

Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit

S0395

Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic

S0400

Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)

S0500

Disposable contact lens, per lens

S0504

Single vision prescription lens (safety, athletic, or sunglass), per lens

S0506

Bifocal vision prescription lens (safety, athletic, or sunglass), per lens

S0508

Trifocal vision prescription lens (safety, athletic, or sunglass), per lens

S0510

Non-prescription lens (safety, athletic, or sunglass), per lens

S0512

Daily wear specialty contact lens, per lens

S0514

Color contact lens, per lens

S0515

Scleral lens, liquid bandage device, per lens

S0516

Safety eyeglass frames

S0518

Sunglasses frames

S0580

Polycarbonate lens (list this code in addition to the basic code for the lens)

S0581

Nonstandard lens (list this code in addition to the basic code for the lens)

S0590

Integral lens service, miscellaneous services reported separately

S0592

Comprehensive contact lens evaluation

S0595

Dispensing new spectacle lenses for patient supplied frame

S0596

Phakic intraocular lens for correction of refractive error

S0601

Screening proctoscopy

S0610

Annual gynecological examination, new patient

S0612

Annual gynecological examination, established patient

S0613

Annual gynecological examination; clinical breast examination without pelvic evaluation

S0618

Audiometry for hearing aid evaluation to determine the level and degree of hearing loss

S0620

Routine ophthalmological examination including refraction; new patient

S0621

Routine ophthalmological examination including refraction; established patient

S0622

Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)

S0630

Removal of sutures; by a physician other than the physician who originally closed the wound

S0800

Laser in situ keratomileusis (lasik)

S0810

Photorefractive keratectomy (prk)

S0812

Phototherapeutic keratectomy (ptk)

S1001

Deluxe item, patient aware (list in addition to code for basic item)

S1002

Customized item (list in addition to code for basic item)

S1015

Iv tubing extension set

S1016

Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel

S1030

Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt code)

S1031

Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code)

S1034

Artificial pancreas device system (e.g., low glucose suspend (lgs) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices

S1035

Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system

S1036

Transmitter; external, for use with artificial pancreas device system

S1037

Receiver (monitor); external, for use with artificial pancreas device system

S1040

Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)

S1090

Mometasone furoate sinus implant, 370 micrograms

S2053

Transplantation of small intestine and liver allografts

S2054

Transplantation of multivisceral organs

S2055

Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor

S2060

Lobar lung transplantation

S2061

Donor lobectomy (lung) for transplantation, living donor

S2065

Simultaneous pancreas kidney transplantation

S2066

Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral

S2067

Breast reconstruction of a single breast with "stacked" deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral

S2068

Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral

S2070

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization)

S2079

Laparoscopic esophagomyotomy (heller type)

S2080

Laser-assisted uvulopalatoplasty (laup)

S2083

Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline

S2095

Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres

S2102

Islet cell tissue transplant from pancreas; allogeneic

S2103

Adrenal tissue transplant to brain

S2107

Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment

S2112

Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)

S2115

Osteotomy, periacetabular, with internal fixation

S2117

Arthroereisis, subtalar

S2118

Metal-on-metal total hip resurfacing, including acetabular and femoral components

S2120

Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation

S2140

Cord blood harvesting for transplantation, allogeneic

S2142

Cord blood-derived stem-cell transplantation, allogeneic

S2150

Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; marrow ablative therapy; drugs, supplies, hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services; and the number of days of pre-and post-transplant care in the global definition

S2152

Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services, and the number of days of pre- and post-transplant care in the global definition

S2202

Echosclerotherapy

S2205

Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft

S2206

Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts

S2207

Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft

S2208

Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous graft

S2209

Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft

S2225

Myringotomy, laser-assisted

S2230

Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear

S2235

Implantation of auditory brain stem implant

S2260

Induced abortion, 17 to 24 weeks

S2265

Induced abortion, 25 to 28 weeks

S2266

Induced abortion, 29 to 31 weeks

S2267

Induced abortion, 32 weeks or greater

S2300

Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy

S2325

Hip core decompression

S2340

Chemodenervation of abductor muscle(s) of vocal cord

S2341

Chemodenervation of adductor muscle(s) of vocal cord

S2342

Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral

S2348

Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar

S2350

Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace

S2351

Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure)

S2360

Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; cervical

S2361

Each additional cervical vertebral body (list separately in addition to code for primary procedure)

S2400

Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero

S2401

Repair, urinary tract obstruction in the fetus, procedure performed in utero

S2402

Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero

S2403

Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero

S2404

Repair, myelomeningocele in the fetus, procedure performed in utero

S2405

Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero

S2409

Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified

S2411

Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome

S2900

Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)

S3000

Diabetic indicator; retinal eye exam, dilated, bilateral

S3005

Performance measurement, evaluation of patient self assessment, depression

S3600

Stat laboratory request (situations other than s3601)

S3601

Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility

S3620

Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total)

S3625

Maternal serum triple marker screen including alpha-fetoprotein (afp), estriol, and human chorionic gonadotropin (hcg)

S3626

Maternal serum quadruple marker screen including alpha-fetoprotein (afp), estriol, human chorionic gonadotropin (hcg) and inhibin a

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)

S3833

Complete apc gene sequence analysis for susceptibility to familial adenomatous polyposis (fap) and attenuated fap

S3834

Single-mutation analysis (in individual with a known apc mutation in the family) for susceptibility to familial adenomatous polyposis (fap) and attenuated fap

S3840

Dna analysis for germline mutations of the ret proto-oncogene for susceptibility to multiple endocrine neoplasia type 2

S3841

Genetic testing for retinoblastoma

S3842

Genetic testing for von hippel-lindau disease

S3844

Dna analysis of the connexin 26 gene (gjb2) for susceptibility to congenital, profound deafness

S3845

Genetic testing for alpha-thalassemia

S3846

Genetic testing for hemoglobin e beta-thalassemia

S3849

Genetic testing for niemann-pick disease

S3850

Genetic testing for sickle cell anemia

S3852

Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer's disease

S3853

Genetic testing for myotonic muscular dystrophy

S3854

Gene expression profiling panel for use in the management of breast cancer treatment

S3855

Genetic testing for detection of mutations in the presenilin - 1 gene

S3861

Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a) and variants for suspected brugada syndrome

S3865

Comprehensive gene sequence analysis for hypertrophic cardiomyopathy

S3866

Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (hcm) in an individual with a known hcm mutation in the family

S3870

Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability

S3890

Dna analysis, fecal, for colorectal cancer screening

S3900

Surface electromyography (emg)

S3902

Ballistocardiogram

S3904

Masters two step

S4005

Interim labor facility global (labor occurring but not resulting in delivery)

S4011

In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development

S4013

Complete cycle, gamete intrafallopian transfer (gift), case rate

S4014

Complete cycle, zygote intrafallopian transfer (zift), case rate

S4015

Complete in vitro fertilization cycle, not otherwise specified, case rate

S4016

Frozen in vitro fertilization cycle, case rate

S4017

Incomplete cycle, treatment cancelled prior to stimulation, case rate

S4018

Frozen embryo transfer procedure cancelled before transfer, case rate

S4020

In vitro fertilization procedure cancelled before aspiration, case rate

S4021

In vitro fertilization procedure cancelled after aspiration, case rate

S4022

Assisted oocyte fertilization, case rate

S4023

Donor egg cycle, incomplete, case rate

S4025

Donor services for in vitro fertilization (sperm or embryo), case rate

S4026

Procurement of donor sperm from sperm bank

S4027

Storage of previously frozen embryos

S4028

Microsurgical epididymal sperm aspiration (mesa)

S4030

Sperm procurement and cryopreservation services; initial visit

S4031

Sperm procurement and cryopreservation services; subsequent visit

S4035

Stimulated intrauterine insemination (iui), case rate

S4037

Cryopreserved embryo transfer, case rate

S4040

Monitoring and storage of cryopreserved embryos, per 30 days

S4042

Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle

S4981

Insertion of levonorgestrel-releasing intrauterine system

S4989

Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies

S4990

Nicotine patches, legend

S4991

Nicotine patches, non-legend

S4993

Contraceptive pills for birth control

S4995

Smoking cessation gum

S5000

Prescription drug, generic

S5001

Prescription drug, brand name

S5010

5% dextrose and 0.45% normal saline, 1000 ml

S5011

5% dextrose in lactated ringer's, 1000 ml

S5012

5% dextrose with potassium chloride, 1000 ml

S5013

5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml

S5014

5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml

S5035

Home infusion therapy, routine service of infusion device (e.g., pump maintenance)

S5036

Home infusion therapy, repair of infusion device (e.g., pump repair)

S5100

Day care services, adult; per 15 minutes

S5101

Day care services, adult; per half day

S5102

Day care services, adult; per diem

S5105

Day care services, center-based; services not included in program fee, per diem

S5108

Home care training to home care client, per 15 minutes

S5109

Home care training to home care client, per session

S5110

Home care training, family; per 15 minutes

S5111

Home care training, family; per session

S5115

Home care training, non-family; per 15 minutes

S5116

Home care training, non-family; per session

S5120

Chore services; per 15 minutes

S5121

Chore services; per diem

S5125

Attendant care services; per 15 minutes

S5126

Attendant care services; per diem

S5130

Homemaker service, nos; per 15 minutes

S5131

Homemaker service, nos; per diem

S5135

Companion care, adult (e.g., iadl/adl); per 15 minutes

S5136

Companion care, adult (e.g., iadl/adl); per diem

S5140

Foster care, adult; per diem

S5141

Foster care, adult; per month

S5145

Foster care, therapeutic, child; per diem

S5146

Foster care, therapeutic, child; per month

S5150

Unskilled respite care, not hospice; per 15 minutes

S5151

Unskilled respite care, not hospice; per diem

S5160

Emergency response system; installation and testing

S5161

Emergency response system; service fee, per month (excludes installation and testing)

S5162

Emergency response system; purchase only

S5165

Home modifications; per service

S5170

Home delivered meals, including preparation; per meal

S5175

Laundry service, external, professional; per order

S5180

Home health respiratory therapy, initial evaluation

S5181

Home health respiratory therapy, nos, per diem

S5185

Medication reminder service, non-face-to-face; per month

S5190

Wellness assessment, performed by non-physician

S5199

Personal care item, nos, each

S5497

Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S5498

Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem

S5501

Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S5502

Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use)

S5517

Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting

S5518

Home infusion therapy, all supplies necessary for catheter repair

S5520

Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion

S5521

Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion

S5522

Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included)

S5523

Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)

S5550

Insulin, rapid onset, 5 units

S5551

Insulin, most rapid onset (lispro or aspart); 5 units

S5552

Insulin, intermediate acting (nph or lente); 5 units

S5553

Insulin, long acting; 5 units

S5560

Insulin delivery device, reusable pen; 1.5 ml size

S5561

Insulin delivery device, reusable pen; 3 ml size

S5565

Insulin cartridge for use in insulin delivery device other than pump; 150 units

S5566

Insulin cartridge for use in insulin delivery device other than pump; 300 units

S5570

Insulin delivery device, disposable pen (including insulin); 1.5 ml size

S5571

Insulin delivery device, disposable pen (including insulin); 3 ml size

S8030

Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy

S8032

Low-dose computed tomography for lung cancer screening

S8035

Magnetic source imaging

S8037

Magnetic resonance cholangiopancreatography (mrcp)

S8040

Topographic brain mapping

S8042

Magnetic resonance imaging (mri), low-field

S8055

Ultrasound guidance for multifetal pregnancy reduction(s), technical component (only to be used when the physician doing the reduction procedure does not perform the ultrasound, guidance is included in the cpt code for multifetal pregnancy reduction - 59866)

S8080

Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical

S8085

Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan)

S8092

Electron beam computed tomography (also known as ultrafast ct, cine ct)

S8096

Portable peak flow meter

S8097

Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer)

S8100

Holding chamber or spacer for use with an inhaler or nebulizer; without mask

S8101

Holding chamber or spacer for use with an inhaler or nebulizer; with mask

S8110

Peak expiratory flow rate (physician services)

S8120

Oxygen contents, gaseous, 1 unit equals 1 cubic foot

S8121

Oxygen contents, liquid, 1 unit equals 1 pound

S8130

Interferential current stimulator, 2 channel

S8131

Interferential current stimulator, 4 channel

S8185

Flutter device

S8186

Swivel adapter

S8189

Tracheostomy supply, not otherwise classified

S8210

Mucus trap

S8262

Mandibular orthopedic repositioning device, each

S8265

Haberman feeder for cleft lip/palate

S8270

Enuresis alarm, using auditory buzzer and/or vibration device

S8301

Infection control supplies, not otherwise specified

S8415

Supplies for home delivery of infant

S8420

Gradient pressure aid (sleeve and glove combination), custom made

S8421

Gradient pressure aid (sleeve and glove combination), ready made

S8422

Gradient pressure aid (sleeve), custom made, medium weight

S8423

Gradient pressure aid (sleeve), custom made, heavy weight

S8424

Gradient pressure aid (sleeve), ready made

S8425

Gradient pressure aid (glove), custom made, medium weight

S8426

Gradient pressure aid (glove), custom made, heavy weight

S8427

Gradient pressure aid (glove), ready made

S8428

Gradient pressure aid (gauntlet), ready made

S8429

Gradient pressure exterior wrap

S8430

Padding for compression bandage, roll

S8431

Compression bandage, roll

S8450

Splint, prefabricated, digit (specify digit by use of modifier)

S8451

Splint, prefabricated, wrist or ankle

S8452

Splint, prefabricated, elbow

S8460

Camisole, post-mastectomy

S8490

Insulin syringes (100 syringes, any size)

S8930

Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with the patient

S8940

Equestrian/hippotherapy, per session

S8948

Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes

S8950

Complex lymphedema therapy, each 15 minutes

S8990

Physical or manipulative therapy performed for maintenance rather than restoration

S8999

Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event)

S9001

Home uterine monitor with or without associated nursing services

S9007

Ultrafiltration monitor

S9015

Automated eeg monitoring

S9024

Paranasal sinus ultrasound

S9025

Omnicardiogram/cardiointegram

S9034

Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265)

S9055

Procuren or other growth factor preparation to promote wound healing

S9056

Coma stimulation per diem

S9061

Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9083

Global fee urgent care centers

S9088

Services provided in an urgent care center (list in addition to code for service)

S9090

Vertebral axial decompression, per session

S9097

Home visit for wound care

S9098

Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem

S9110

Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month

S9117

Back school, per visit

S9122

Home health aide or certified nurse assistant, providing care in the home; per hour

S9123

Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)

S9124

Nursing care, in the home; by licensed practical nurse, per hour

S9125

Respite care, in the home, per diem

S9126

Hospice care, in the home, per diem

S9127

Social work visit, in the home, per diem

S9128

Speech therapy, in the home, per diem

S9129

Occupational therapy, in the home, per diem

S9131

Physical therapy; in the home, per diem

S9140

Diabetic management program, follow-up visit to non-md provider

S9141

Diabetic management program, follow-up visit to md provider

S9145

Insulin pump initiation, instruction in initial use of pump (pump not included)

S9150

Evaluation by ocularist

S9152

Speech therapy, re-evaluation

S9208

Home management of preterm labor, including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)

S9209

Home management of preterm premature rupture of membranes (pprom), including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)

S9211

Home management of gestational hypertension, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code)

S9212

Home management of postpartum hypertension, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)

S9213

Home management of preeclampsia, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately); per diem (do not use this code with any home infusion per diem code)

S9214

Home management of gestational diabetes, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code)

S9325

Home infusion therapy, pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (do not use this code with s9326, s9327 or s9328)

S9326

Home infusion therapy, continuous (twenty-four hours or more) pain management infusion; administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9327

Home infusion therapy, intermittent (less than twenty-four hours) pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9328

Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9329

Home infusion therapy, chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with s9330 or s9331)

S9330

Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9331

Home infusion therapy, intermittent (less than twenty-four hours) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9335

Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem

S9336

Home infusion therapy, continuous anticoagulant infusion therapy (e.g., heparin), administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9338

Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9339

Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9340

Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem

S9341

Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem

S9342

Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem

S9343

Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem

S9345

Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor viii); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9346

Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9347

Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or subcutaneous infusion therapy (e.g., epoprostenol); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9348

Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9349

Home infusion therapy, tocolytic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9351

Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem

S9353

Home infusion therapy, continuous insulin infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9355

Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9357

Home infusion therapy, enzyme replacement intravenous therapy; (e.g., imiglucerase); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9359

Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9361

Home infusion therapy, diuretic intravenous therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9363

Home infusion therapy, anti-spasmotic therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9364

Home infusion therapy, total parenteral nutrition (tpn); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem (do not use with home infusion codes s9365-s9368 using daily volume scales)

S9365

Home infusion therapy, total parenteral nutrition (tpn); one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem

S9366

Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem

S9367

Home infusion therapy, total parenteral nutrition (tpn); more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem

S9368

Home infusion therapy, total parenteral nutrition (tpn); more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem

S9370

Home therapy, intermittent anti-emetic injection therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9372

Home therapy; intermittent anticoagulant injection therapy (e.g., heparin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code for flushing of infusion devices with heparin to maintain patency)

S9373

Home infusion therapy, hydration therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use with hydration therapy codes s9374-s9377 using daily volume scales)

S9374

Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9375

Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9376

Home infusion therapy, hydration therapy; more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9377

Home infusion therapy, hydration therapy; more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies (drugs and nursing visits coded separately), per diem

S9379

Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9381

Delivery or service to high risk areas requiring escort or extra protection, per visit

S9401

Anticoagulation clinic, inclusive of all services except laboratory tests, per session

S9430

Pharmacy compounding and dispensing services

S9433

Medical food nutritionally complete, administered orally, providing 100% of nutritional intake

S9434

Modified solid food supplements for inborn errors of metabolism

S9435

Medical foods for inborn errors of metabolism

S9436

Childbirth preparation/lamaze classes, non-physician provider, per session

S9437

Childbirth refresher classes, non-physician provider, per session

S9438

Cesarean birth classes, non-physician provider, per session

S9439

Vbac (vaginal birth after cesarean) classes, non-physician provider, per session

S9441

Asthma education, non-physician provider, per session

S9442

Birthing classes, non-physician provider, per session

S9443

Lactation classes, non-physician provider, per session

S9444

Parenting classes, non-physician provider, per session

S9445

Patient education, not otherwise classified, non-physician provider, individual, per session

S9446

Patient education, not otherwise classified, non-physician provider, group, per session

S9447

Infant safety (including cpr) classes, non-physician provider, per session

S9449

Weight management classes, non-physician provider, per session

S9451

Exercise classes, non-physician provider, per session

S9452

Nutrition classes, non-physician provider, per session

S9453

Smoking cessation classes, non-physician provider, per session

S9454

Stress management classes, non-physician provider, per session

S9455

Diabetic management program, group session

S9460

Diabetic management program, nurse visit

S9465

Diabetic management program, dietitian visit

S9470

Nutritional counseling, dietitian visit

S9472

Cardiac rehabilitation program, non-physician provider, per diem

S9473

Pulmonary rehabilitation program, non-physician provider, per diem

S9474

Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem

S9475

Ambulatory setting substance abuse treatment or detoxification services, per diem

S9476

Vestibular rehabilitation program, non-physician provider, per diem

S9480

Intensive outpatient psychiatric services, per diem

S9482

Family stabilization services, per 15 minutes

S9484

Crisis intervention mental health services, per hour

S9485

Crisis intervention mental health services, per diem

S9490

Home infusion therapy, corticosteroid infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9494

Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504)

S9497

Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9500

Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9501

Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9502

Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9503

Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9504

Home infusion therapy, antibiotic, antiviral, or antifungal; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9529

Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient

S9537

Home therapy; hematopoietic hormone injection therapy (e.g., erythropoietin, g-csf, gm-csf); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9538

Home transfusion of blood product(s); administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (blood products, drugs, and nursing visits coded separately), per diem

S9542

Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9558

Home injectable therapy; growth hormone, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9559

Home injectable therapy, interferon, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9560

Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9562

Home injectable therapy, palivizumab, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9590

Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

S9810

Home therapy; professional pharmacy services for provision of infusion, specialty drug administration, and/or disease state management, not otherwise classified, per hour (do not use this code with any per diem code)

S9900

Services by a journal-listed christian science practitioner for the purpose of healing, per diem

S9901

Services by a journal-listed christian science nurse, per hour

S9960

Ambulance service, conventional air service, nonemergency transport, one way (fixed wing)

S9961

Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)

S9970

Health club membership, annual

S9975

Transplant related lodging, meals and transportation, per diem

S9976

Lodging, per diem, not otherwise classified

S9977

Meals, per diem, not otherwise specified

S9981

Medical records copying fee, administrative

S9982

Medical records copying fee, per page

S9986

Not medically necessary service (patient is aware that service not medically necessary)

S9988

Services provided as part of a phase i clinical trial

S9989

Services provided outside of the united states of america (list in addition to code(s) for service(s))

S9990

Services provided as part of a phase ii clinical trial

S9991

Services provided as part of a phase iii clinical trial

S9992

Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion

S9994

Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion

S9996

Meals for clinical trial participant and one caregiver/companion

S9999

Sales tax