S0000–S9999: Commercial Payers

HCPC SEQNUM RECID LONG DESCRIPTION SHORT DESCRIPTION
S0012 0010 3 Butorphanol tartrate, nasal spray, 25 mg Butorphanol tartrate, nasal
S0014 0010 3 Tacrine hydrochloride, 10 mg Tacrine hydrochloride, 10 mg
S0017 0010 3 Injection, aminocaproic acid, 5 grams Injection, aminocaproic acid
S0020 0010 3 Injection, bupivicaine hydrochloride, 30 ml Injection, bupivicaine hydro
S0021 0010 3 Injection, cefoperazone sodium, 1 gram Injection, cefoperazone sod
S0023 0010 3 Injection, cimetidine hydrochloride, 300 mg Injection, cimetidine hydroc
S0028 0010 3 Injection, famotidine, 20 mg Injection, famotidine, 20 mg
S0030 0010 3 Injection, metronidazole, 500 mg Injection, metronidazole
S0032 0010 3 Injection, nafcillin sodium, 2 grams Injection, nafcillin sodium
S0034 0010 3 Injection, ofloxacin, 400 mg Injection, ofloxacin, 400 mg
S0039 0010 3 Injection, sulfamethoxazole and trimethoprim, 10 ml Injection, sulfamethoxazole
S0040 0010 3 Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams Injection, ticarcillin disod
S0073 0010 3 Injection, aztreonam, 500 mg Injection, aztreonam, 500 mg
S0074 0010 3 Injection, cefotetan disodium, 500 mg Injection, cefotetan disodiu
S0077 0010 3 Injection, clindamycin phosphate, 300 mg Injection, clindamycin phosp
S0078 0010 3 Injection, fosphenytoin sodium, 750 mg Injection, fosphenytoin sodi
S0080 0010 3 Injection, pentamidine isethionate, 300 mg Injection, pentamidine iseth
S0081 0010 3 Injection, piperacillin sodium, 500 mg Injection, piperacillin sodi
S0088 0010 3 Imatinib, 100 mg Imatinib 100 mg
S0090 0010 3 Sildenafil citrate, 25 mg Sildenafil citrate, 25 mg
S0091 0010 3 Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166) Granisetron 1mg
S0092 0010 3 Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump) Hydromorphone 250 mg
S0093 0010 3 Injection, morphine sulfate, 500 mg (loading dose for infusion pump) Morphine 500 mg
S0104 0010 3 Zidovudine, oral, 100 mg Zidovudine, oral, 100 mg
S0106 0010 3 Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets Bupropion hcl sr 60 tablets
S0108 0010 3 Mercaptopurine, oral, 50 mg Mercaptopurine 50 mg
S0109 0010 3 Methadone, oral, 5 mg Methadone oral 5mg
S0117 0010 3 Tretinoin, topical, 5 grams Tretinoin topical 5 g
S0119 0010 3 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) Ondansetron 4 mg
S0122 0010 3 Injection, menotropins, 75 iu Inj menotropins 75 iu
S0126 0010 3 Injection, follitropin alfa, 75 iu Inj follitropin alfa 75 iu
S0128 0010 3 Injection, follitropin beta, 75 iu Inj follitropin beta 75 iu
S0132 0010 3 Injection, ganirelix acetate, 250 mcg Inj ganirelix acetat 250 mcg
S0136 0010 3 Clozapine, 25 mg Clozapine, 25 mg
S0137 0010 3 Didanosine (ddi), 25 mg Didanosine, 25 mg
S0138 0010 3 Finasteride, 5 mg Finasteride, 5 mg
S0139 0010 3 Minoxidil, 10 mg Minoxidil, 10 mg
S0140 0010 3 Saquinavir, 200 mg Saquinavir, 200 mg
S0142 0010 3 Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg Colistimethate inh sol mg
S0144 0010 3 Injection, propofol, 10 mg Inj, propofol, 10 mg
S0145 0010 3 Injection, pegylated interferon alfa-2a, 180 mcg per ml Peg interferon alfa-2a/180
S0148 0010 3 Injection, pegylated interferon alfa-2b, 10 mcg Peg interferon alfa-2b/10
S0155 0010 3 Sterile dilutant for epoprostenol, 50 ml Epoprostenol dilutant
S0156 0010 3 Exemestane, 25 mg Exemestane, 25 mg
S0157 0010 3 Becaplermin gel 0.01%, 0.5 gm Becaplermin gel 1%, 0.5 gm
S0160 0010 3 Dextroamphetamine sulfate, 5 mg Dextroamphetamine
S0164 0010 3 Injection, pantoprazole sodium, 40 mg Injection pantroprazole
S0166 0010 3 Injection, olanzapine, 2.5 mg Inj olanzapine 2.5mg
S0169 0010 3 Calcitrol, 0.25 microgram Calcitrol
S0170 0010 3 Anastrozole, oral, 1 mg Anastrozole 1 mg
S0171 0010 3 Injection, bumetanide, 0.5 mg Bumetanide 0.5 mg
S0172 0010 3 Chlorambucil, oral, 2 mg Chlorambucil 2 mg
S0174 0010 3 Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180) Dolasetron 50 mg
S0175 0010 3 Flutamide, oral, 125 mg Flutamide 125 mg
S0176 0010 3 Hydroxyurea, oral, 500 mg Hydroxyurea 500 mg
S0177 0010 3 Levamisole hydrochloride, oral, 50 mg Levamisole 50 mg
S0178 0010 3 Lomustine, oral, 10 mg Lomustine 10 mg
S0179 0010 3 Megestrol acetate, oral, 20 mg Megestrol 20 mg
S0182 0010 3 Procarbazine hydrochloride, oral, 50 mg Procarbazine, oral
S0183 0010 3 Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164) Prochlorperazine 5 mg
S0187 0010 3 Tamoxifen citrate, oral, 10 mg Tamoxifen 10 mg
S0189 0010 3 Testosterone pellet, 75 mg Testosterone pellet 75 mg
S0190 0010 3 Mifepristone, oral, 200 mg Mifepristone, oral, 200 mg
S0191 0010 3 Misoprostol, oral, 200 mcg Misoprostol, oral, 200 mcg
S0194 0010 3 Dialysis/stress vitamin supplement, oral, 100 capsules Vitamin suppl 100 caps
S0195 0010 3 Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine Pneumo vaccine 5-9 yrs
S0197 0010 3 Prenatal vitamins, 30-day supply Prenatal vitamins 30 day
S0199 0010 3 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 Med abortion inc all ex drug
S0201 0010 3 Partial hospitalization services, less than 24 hours, per diem Partial hospitalization serv
S0207 0010 3 Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport Paramedicintercep nonhospals
S0208 0010 3 Paramedic intercept, hospital-based als service (non-voluntary), non-transport Paramed intrcept nonvol
S0209 0010 3 Wheelchair van, mileage, per mile Wc van mileage per mi
S0215 0010 3 Non-emergency transportation; mileage, per mile Nonemerg transp mileage
S0220 0010 3 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 Medical conference by physic
S0221 0010 3 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 Medical conference, 60 min
S0250 0010 3 Comprehensive geriatric assessment and treatment planning performed by assessment team Comp geriatr assmt team
S0255 0010 3 Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff Hospice refer visit nonmd
S0257 0010 3 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) End of life counseling
S0260 0010 3 History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service) H&p for surgery
S0265 0010 3 Genetic counseling, under physician supervision, each 15 minutes Genetic counsel 15 mins
S0270 0010 3 Physician management of patient home care, standard monthly case rate (per 30 days) Home std case rate 30 days
S0271 0010 3 Physician management of patient home care, hospice monthly case rate (per 30 days) Home hospice case 30 days
S0272 0010 3 Physician management of patient home care, episodic care monthly case rate (per 30 days) Home episodic case 30 days
S0273 0010 3 Physician visit at member’s home, outside of a capitation arrangement Md home visit outside cap
S0274 0010 3 Nurse practitioner visit at member’s home, outside of a capitation arrangement Nurse practr visit outs cap
S0280 0010 3 Medical home program, comprehensive care coordination and planning, initial plan Medical home, initial plan
S0281 0010 3 Medical home program, comprehensive care coordination and planning, maintenance of plan Medical home, maintenance
S0285 0010 3 Colonoscopy consultation performed prior to a screening colonoscopy procedure Cnslt before screen colonosc
S0302 0010 3 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) Completed epsdt
S0310 0010 3 Hospitalist services (list separately in addition to code for appropriate evaluation and management service) Hospitalist visit
S0311 0010 3 Comprehensive management and care coordination for advanced illness, per calendar month Comp mgmt care coord adv ill
S0315 0010 3 Disease management program; initial assessment and initiation of the program Disease management program
S0316 0010 3 Disease management program, follow-up/reassessment Follow-up/reassessment
S0317 0010 3 Disease management program; per diem Disease mgmt per diem
S0320 0010 3 Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month Rn telephone calls to dmp
S0340 0010 3 Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage Lifestyle mod 1st stage
S0341 0010 3 Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage Lifestyle mod 2 or 3 stage
S0342 0010 3 Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage Lifestyle mod 4th stage
S0353 0010 3 Treatment planning and care coordination management for cancer, initial treatment Cancer treatmentplan initial
S0354 0010 3 Treatment planning and care coordination management for cancer, established patient with a change of regimen Cancer treatment plan change
S0390 0010 3 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 Rout foot care per visit
S0395 0010 3 Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic Impression casting ft
S0400 0010 3 Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) Global eswl kidney
S0500 0010 3 Disposable contact lens, per lens Dispos cont lens
S0504 0010 3 Single vision prescription lens (safety, athletic, or sunglass), per lens Singl prscrp lens
S0506 0010 3 Bifocal vision prescription lens (safety, athletic, or sunglass), per lens Bifoc prscp lens
S0508 0010 3 Trifocal vision prescription lens (safety, athletic, or sunglass), per lens Trifoc prscrp lens
S0510 0010 3 Non-prescription lens (safety, athletic, or sunglass), per lens Non-prscrp lens
S0512 0010 3 Daily wear specialty contact lens, per lens Daily cont lens
S0514 0010 3 Color contact lens, per lens Color cont lens
S0515 0010 3 Scleral lens, liquid bandage device, per lens Scleral lens liquid bandage
S0516 0010 3 Safety eyeglass frames Safety frames
S0518 0010 3 Sunglasses frames Sunglass frames
S0580 0010 3 Polycarbonate lens (list this code in addition to the basic code for the lens) Polycarb lens
S0581 0010 3 Nonstandard lens (list this code in addition to the basic code for the lens) Nonstnd lens
S0590 0010 3 Integral lens service, miscellaneous services reported separately Misc integral lens serv
S0592 0010 3 Comprehensive contact lens evaluation Comp cont lens eval
S0595 0010 3 Dispensing new spectacle lenses for patient supplied frame New lenses in pts old frame
S0596 0010 3 Phakic intraocular lens for correction of refractive error Phakic iol refractive error
S0601 0010 3 Screening proctoscopy Screening proctoscopy
S0610 0010 3 Annual gynecological examination, new patient Annual gynecological examina
S0612 0010 3 Annual gynecological examination, established patient Annual gynecological examina
S0613 0010 3 Annual gynecological examination; clinical breast examination without pelvic evaluation Ann breast exam
S0618 0010 3 Audiometry for hearing aid evaluation to determine the level and degree of hearing loss Audiometry for hearing aid
S0620 0010 3 Routine ophthalmological examination including refraction; new patient Routine ophthalmological exa
S0621 0010 3 Routine ophthalmological examination including refraction; established patient Routine ophthalmological exa
S0622 0010 3 Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code) Phys exam for college
S0630 0010 3 Removal of sutures; by a physician other than the physician who originally closed the wound Removal of sutures
S0800 0010 3 Laser in situ keratomileusis (lasik) Laser in situ keratomileusis
S0810 0010 3 Photorefractive keratectomy (prk) Photorefractive keratectomy
S0812 0010 3 Phototherapeutic keratectomy (ptk) Phototherap keratect
S1001 0010 3 Deluxe item, patient aware (list in addition to code for basic item) Deluxe item
S1002 0010 3 Customized item (list in addition to code for basic item) Custom item
S1015 0010 3 Iv tubing extension set Iv tubing extension set
S1016 0010 3 Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel Non-pvc intravenous administ
S1030 0010 3 Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt code) Gluc monitor purchase
S1031 0010 3 Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code) Gluc monitor rental
S1034 0010 3 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 Art pancreas system
S1035 0010 3 Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system Art pancreas inv disp sensor
S1036 0010 3 Transmitter; external, for use with artificial pancreas device system Art pancreas ext transmitter
S1037 0010 3 Receiver (monitor); external, for use with artificial pancreas device system Art pancreas ext receiver
S1040 0010 3 Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s) Cranial remolding orthosis
S1090 0010 3 Mometasone furoate sinus implant, 370 micrograms Mometasone sinus implant
S2053 0010 3 Transplantation of small intestine and liver allografts Transplantation of small int
S2054 0010 3 Transplantation of multivisceral organs Transplantation of multivisc
S2055 0010 3 Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor Harvesting of donor multivis
S2060 0010 3 Lobar lung transplantation Lobar lung transplantation
S2061 0010 3 Donor lobectomy (lung) for transplantation, living donor Donor lobectomy (lung)
S2065 0010 3 Simultaneous pancreas kidney transplantation Simult panc kidn trans
S2066 0010 3 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 Breast gap flap reconst
S2067 0010 3 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 Breast “stacked” diep/gap
S2068 0010 3 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 Breast diep or siea flap
S2070 0010 3 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) Cysto laser tx ureteral calc
S2079 0010 3 Laparoscopic esophagomyotomy (heller type) Lap esophagomyotomy
S2080 0010 3 Laser-assisted uvulopalatoplasty (laup) Laup
S2083 0010 3 Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline Adjustment gastric band
S2095 0010 3 Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres Transcath emboliz microspher
S2102 0010 3 Islet cell tissue transplant from pancreas; allogeneic Islet cell tissue transplant
S2103 0010 3 Adrenal tissue transplant to brain Adrenal tissue transplant
S2107 0010 3 Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment Adoptive immunotherapy
S2112 0010 3 Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells) Knee arthroscp harv
S2115 0010 3 Osteotomy, periacetabular, with internal fixation Periacetabular osteotomy
S2117 0010 3 Arthroereisis, subtalar Arthroereisis, subtalar
S2118 0010 3 Metal-on-metal total hip resurfacing, including acetabular and femoral components Total hip resurfacing
S2120 0010 3 Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation Low density lipoprotein(ldl)
S2140 0010 3 Cord blood harvesting for transplantation, allogeneic Cord blood harvesting
S2142 0010 3 Cord blood-derived stem-cell transplantation, allogeneic Cord blood-derived stem-cell
S2150 0010 3 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 Bmt harv/transpl 28d pkg
S2152 0010 3 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 Solid organ transpl pkg
S2202 0010 3 Echosclerotherapy Echosclerotherapy
S2205 0010 3 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 Minimally invasive direct co
S2206 0010 3 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 Minimally invasive direct co
S2207 0010 3 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 Minimally invasive direct co
S2208 0010 3 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 Minimally invasive direct co
S2209 0010 3 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 Minimally invasive direct co
S2225 0010 3 Myringotomy, laser-assisted Myringotomy laser-assist
S2230 0010 3 Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear Implant semi-imp hear
S2235 0010 3 Implantation of auditory brain stem implant Implant auditory brain imp
S2260 0010 3 Induced abortion, 17 to 24 weeks Induced abortion 17-24 weeks
S2265 0010 3 Induced abortion, 25 to 28 weeks Induced abortion 25-28 wks
S2266 0010 3 Induced abortion, 29 to 31 weeks Induced abortion 29-31 wks
S2267 0010 3 Induced abortion, 32 weeks or greater Induced abortion 32 or more
S2300 0010 3 Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy Arthroscopy, shoulder, surgi
S2325 0010 3 Hip core decompression Hip core decompression
S2340 0010 3 Chemodenervation of abductor muscle(s) of vocal cord Chemodenervation of abductor
S2341 0010 3 Chemodenervation of adductor muscle(s) of vocal cord Chemodenerv adduct vocal
S2342 0010 3 Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral Nasal endoscop po debrid
S2348 0010 3 Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar Decompress disc rf lumbar
S2350 0010 3 Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace Diskectomy, anterior, with d
S2351 0010 3 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) Diskectomy, anterior, with d
S2360 0010 3 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; cervical Vertebroplast cerv 1st
S2361 0010 3 Each additional cervical vertebral body (list separately in addition to code for primary procedure) Vertebroplast cerv addl
S2400 0010 3 Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero Fetal surg congen hernia
S2401 0010 3 Repair, urinary tract obstruction in the fetus, procedure performed in utero Fetal surg urin trac obstr
S2402 0010 3 Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero Fetal surg cong cyst malf
S2403 0010 3 Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero Fetal surg pulmon sequest
S2404 0010 3 Repair, myelomeningocele in the fetus, procedure performed in utero Fetal surg myelomeningo
S2405 0010 3 Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero Fetal surg sacrococ teratoma
S2409 0010 3 Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified Fetal surg noc
S2411 0010 3 Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome Fetoscop laser ther ttts
S2900 0010 3 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) Robotic surgical system
S3000 0010 3 Diabetic indicator; retinal eye exam, dilated, bilateral Bilat dil retinal exam
S3005 0010 3 Performance measurement, evaluation of patient self assessment, depression Eval self-assess depression
S3600 0010 3 Stat laboratory request (situations other than s3601) Stat lab
S3601 0010 3 Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility Stat lab home/nf
S3620 0010 3 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) Newborn metabolic screening
S3630 0010 3 Eosinophil count, blood, direct Eosinophil blood count
S3645 0010 3 Hiv-1 antibody testing of oral mucosal transudate Hiv-1 antibody testing of or
S3650 0010 3 Saliva test, hormone level; during menopause Saliva test, hormone level;
S3652 0010 3 Saliva test, hormone level; to assess preterm labor risk Saliva test, hormone level;
S3655 0010 3 Antisperm antibodies test (immunobead) Antisperm antibodies test
S3708 0010 3 Gastrointestinal fat absorption study Gastrointestinal fat absorpt
S3721 0010 3 Prostate cancer antigen 3 (pca3) testing Pca3 testing
S3722 0010 3 Dose optimization by area under the curve (auc) analysis, for infusional 5-fluorouracil Dose optimization auc - 5fu
S3800 0010 3 Genetic testing for amyotrophic lateral sclerosis (als) Genetic testing als
S3840 0010 3 Dna analysis for germline mutations of the ret proto-oncogene for susceptibility to multiple endocrine neoplasia type 2 Dna analysis ret-oncogene
S3841 0010 3 Genetic testing for retinoblastoma Gene test retinoblastoma
S3842 0010 3 Genetic testing for von hippel-lindau disease Gene test hippel-lindau
S3844 0010 3 Dna analysis of the connexin 26 gene (gjb2) for susceptibility to congenital, profound deafness Dna analysis deafness
S3845 0010 3 Genetic testing for alpha-thalassemia Gene test alpha-thalassemia
S3846 0010 3 Genetic testing for hemoglobin e beta-thalassemia Gene test beta-thalassemia
S3849 0010 3 Genetic testing for niemann-pick disease Gene test niemann-pick
S3850 0010 3 Genetic testing for sickle cell anemia Gene test sickle cell
S3852 0010 3 Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer’s disease Dna analysis apoe alzheimer
S3853 0010 3 Genetic testing for myotonic muscular dystrophy Gene test myo musclr dyst
S3854 0010 3 Gene expression profiling panel for use in the management of breast cancer treatment Gene profile panel breast
S3855 0010 3 Genetic testing for detection of mutations in the presenilin - 1 gene Gene test presenilin-1 gene
S3861 0010 3 Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a) and variants for suspected brugada syndrome Genetic test brugada
S3865 0010 3 Comprehensive gene sequence analysis for hypertrophic cardiomyopathy Comp genet test hyp cardiomy
S3866 0010 3 Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (hcm) in an individual with a known hcm mutation in the family Spec gene test hyp cardiomy
S3870 0010 3 Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability Cgh test developmental delay
S3890 0010 3 Dna analysis, fecal, for colorectal cancer screening Fecal dna analysis
S3900 0010 3 Surface electromyography (emg) Surface emg
S3902 0010 3 Ballistocardiogram Ballistocardiogram
S3904 0010 3 Masters two step Masters two step
S4005 0010 3 Interim labor facility global (labor occurring but not resulting in delivery) Interim labor facility globa
S4011 0010 3 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 Ivf package
S4013 0010 3 Complete cycle, gamete intrafallopian transfer (gift), case rate Compl gift case rate
S4014 0010 3 Complete cycle, zygote intrafallopian transfer (zift), case rate Compl zift case rate
S4015 0010 3 Complete in vitro fertilization cycle, not otherwise specified, case rate Complete ivf nos case rate
S4016 0010 3 Frozen in vitro fertilization cycle, case rate Frozen ivf case rate
S4017 0010 3 Incomplete cycle, treatment cancelled prior to stimulation, case rate Ivf canc a stim case rate
S4018 0010 3 Frozen embryo transfer procedure cancelled before transfer, case rate F emb trns canc case rate
S4020 0010 3 In vitro fertilization procedure cancelled before aspiration, case rate Ivf canc a aspir case rate
S4021 0010 3 In vitro fertilization procedure cancelled after aspiration, case rate Ivf canc p aspir case rate
S4022 0010 3 Assisted oocyte fertilization, case rate Asst oocyte fert case rate
S4023 0010 3 Donor egg cycle, incomplete, case rate Incompl donor egg case rate
S4025 0010 3 Donor services for in vitro fertilization (sperm or embryo), case rate Donor serv ivf case rate
S4026 0010 3 Procurement of donor sperm from sperm bank Procure donor sperm
S4027 0010 3 Storage of previously frozen embryos Store prev froz embryos
S4028 0010 3 Microsurgical epididymal sperm aspiration (mesa) Microsurg epi sperm asp
S4030 0010 3 Sperm procurement and cryopreservation services; initial visit Sperm procure init visit
S4031 0010 3 Sperm procurement and cryopreservation services; subsequent visit Sperm procure subs visit
S4035 0010 3 Stimulated intrauterine insemination (iui), case rate Stimulated iui case rate
S4037 0010 3 Cryopreserved embryo transfer, case rate Cryo embryo transf case rate
S4040 0010 3 Monitoring and storage of cryopreserved embryos, per 30 days Monit store cryo embryo 30 d
S4042 0010 3 Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle Ovulation mgmt per cycle
S4981 0010 3 Insertion of levonorgestrel-releasing intrauterine system Insert levonorgestrel ius
S4989 0010 3 Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies Contracept iud
S4990 0010 3 Nicotine patches, legend Nicotine patch legend
S4991 0010 3 Nicotine patches, non-legend Nicotine patch nonlegend
S4993 0010 3 Contraceptive pills for birth control Contraceptive pills for bc
S4995 0010 3 Smoking cessation gum Smoking cessation gum
S5000 0010 3 Prescription drug, generic Prescription drug, generic
S5001 0010 3 Prescription drug, brand name Prescription drug,brand name
S5010 0010 3 5% dextrose and 0.45% normal saline, 1000 ml 5% dextrose and 0.45% saline
S5011 0010 3 5% dextrose in lactated ringer’s, 1000 ml 5% dextrose in lactated ring
S5012 0010 3 5% dextrose with potassium chloride, 1000 ml 5% dextrose with potassium
S5013 0010 3 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml 5%dextrose/0.45%saline1000ml
S5014 0010 3 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml D5w/0.45ns w kcl and mgs04
S5035 0010 3 Home infusion therapy, routine service of infusion device (e.g., pump maintenance) Hit routine device maint
S5036 0010 3 Home infusion therapy, repair of infusion device (e.g., pump repair) Hit device repair
S5100 0010 3 Day care services, adult; per 15 minutes Adult daycare services 15min
S5101 0010 3 Day care services, adult; per half day Adult day care per half day
S5102 0010 3 Day care services, adult; per diem Adult day care per diem
S5105 0010 3 Day care services, center-based; services not included in program fee, per diem Centerbased day care perdiem
S5108 0010 3 Home care training to home care client, per 15 minutes Homecare train pt 15 min
S5109 0010 3 Home care training to home care client, per session Homecare train pt session
S5110 0010 3 Home care training, family; per 15 minutes Family homecare training 15m
S5111 0010 3 Home care training, family; per session Family homecare train/sessio
S5115 0010 3 Home care training, non-family; per 15 minutes Nonfamily homecare train/15m
S5116 0010 3 Home care training, non-family; per session Nonfamily hc train/session
S5120 0010 3 Chore services; per 15 minutes Chore services per 15 min
S5121 0010 3 Chore services; per diem Chore services per diem
S5125 0010 3 Attendant care services; per 15 minutes Attendant care service /15m
S5126 0010 3 Attendant care services; per diem Attendant care service /diem
S5130 0010 3 Homemaker service, nos; per 15 minutes Homaker service nos per 15m
S5131 0010 3 Homemaker service, nos; per diem Homemaker service nos /diem
S5135 0010 3 Companion care, adult (e.g., iadl/adl); per 15 minutes Adult companioncare per 15m
S5136 0010 3 Companion care, adult (e.g., iadl/adl); per diem Adult companioncare per diem
S5140 0010 3 Foster care, adult; per diem Adult foster care per diem
S5141 0010 3 Foster care, adult; per month Adult foster care per month
S5145 0010 3 Foster care, therapeutic, child; per diem Child fostercare th per diem
S5146 0010 3 Foster care, therapeutic, child; per month Ther fostercare child /month
S5150 0010 3 Unskilled respite care, not hospice; per 15 minutes Unskilled respite care /15m
S5151 0010 3 Unskilled respite care, not hospice; per diem Unskilled respitecare /diem
S5160 0010 3 Emergency response system; installation and testing Emer response sys instal&tst
S5161 0010 3 Emergency response system; service fee, per month (excludes installation and testing) Emer rspns sys serv permonth
S5162 0010 3 Emergency response system; purchase only Emer rspns system purchase
S5165 0010 3 Home modifications; per service Home modifications per serv
S5170 0010 3 Home delivered meals, including preparation; per meal Homedelivered prepared meal
S5175 0010 3 Laundry service, external, professional; per order Laundry serv,ext,prof,/order
S5180 0010 3 Home health respiratory therapy, initial evaluation Hh respiratory thrpy in eval
S5181 0010 3 Home health respiratory therapy, nos, per diem Hh respiratory thrpy nos/day
S5185 0010 3 Medication reminder service, non-face-to-face; per month Med reminder serv per month
S5190 0010 3 Wellness assessment, performed by non-physician Wellness assessment by nonph
S5199 0010 3 Personal care item, nos, each Personal care item nos each
S5497 0010 3 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 Hit cath care noc
S5498 0010 3 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 Hit simple cath care
S5501 0010 3 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 Hit complex cath care
S5502 0010 3 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) Hit interim cath care
S5517 0010 3 Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting Hit declotting kit
S5518 0010 3 Home infusion therapy, all supplies necessary for catheter repair Hit cath repair kit
S5520 0010 3 Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion Hit picc insert kit
S5521 0010 3 Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion Hit midline cath insert kit
S5522 0010 3 Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included) Hit picc insert no supp
S5523 0010 3 Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) Hip midline cath insert kit
S5550 0010 3 Insulin, rapid onset, 5 units Insulin rapid 5 u
S5551 0010 3 Insulin, most rapid onset (lispro or aspart); 5 units Insulin most rapid 5 u
S5552 0010 3 Insulin, intermediate acting (nph or lente); 5 units Insulin intermed 5 u
S5553 0010 3 Insulin, long acting; 5 units Insulin long acting 5 u
S5560 0010 3 Insulin delivery device, reusable pen; 1.5 ml size Insulin reuse pen 1.5 ml
S5561 0010 3 Insulin delivery device, reusable pen; 3 ml size Insulin reuse pen 3 ml
S5565 0010 3 Insulin cartridge for use in insulin delivery device other than pump; 150 units Insulin cartridge 150 u
S5566 0010 3 Insulin cartridge for use in insulin delivery device other than pump; 300 units Insulin cartridge 300 u
S5570 0010 3 Insulin delivery device, disposable pen (including insulin); 1.5 ml size Insulin dispos pen 1.5 ml
S5571 0010 3 Insulin delivery device, disposable pen (including insulin); 3 ml size Insulin dispos pen 3 ml
S8030 0010 3 Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy Tantalum ring application
S8032 0010 3 Low-dose computed tomography for lung cancer screening Low dose ct lung screening
S8035 0010 3 Magnetic source imaging Magnetic source imaging
S8037 0010 3 Magnetic resonance cholangiopancreatography (mrcp) Mrcp
S8040 0010 3 Topographic brain mapping Topographic brain mapping
S8042 0010 3 Magnetic resonance imaging (mri), low-field Mri low field
S8055 0010 3 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) Us guidance fetal reduct
S8080 0010 3 Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical Scintimammography
S8085 0010 3 Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan) Fluorine-18 fluorodeoxygluco
S8092 0010 3 Electron beam computed tomography (also known as ultrafast ct, cine ct) Electron beam computed tomog
S8096 0010 3 Portable peak flow meter Portable peak flow meter
S8097 0010 3 Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer) Asthma kit
S8100 0010 3 Holding chamber or spacer for use with an inhaler or nebulizer; without mask Spacer without mask
S8101 0010 3 Holding chamber or spacer for use with an inhaler or nebulizer; with mask Spacer with mask
S8110 0010 3 Peak expiratory flow rate (physician services) Peak expiratory flow rate (p
S8120 0010 3 Oxygen contents, gaseous, 1 unit equals 1 cubic foot O2 contents gas cubic ft
S8121 0010 3 Oxygen contents, liquid, 1 unit equals 1 pound O2 contents liquid lb
S8130 0010 3 Interferential current stimulator, 2 channel Interferential stim 2 chan
S8131 0010 3 Interferential current stimulator, 4 channel Interferential stim 4 chan
S8185 0010 3 Flutter device Flutter device
S8186 0010 3 Swivel adapter Swivel adaptor
S8189 0010 3 Tracheostomy supply, not otherwise classified Trach supply noc
S8210 0010 3 Mucus trap Mucus trap
S8262 0010 3 Mandibular orthopedic repositioning device, each Mandib ortho repos device
S8265 0010 3 Haberman feeder for cleft lip/palate Haberman feeder
S8270 0010 3 Enuresis alarm, using auditory buzzer and/or vibration device Enuresis alarm
S8301 0010 3 Infection control supplies, not otherwise specified Infect control supplies nos
S8415 0010 3 Supplies for home delivery of infant Supplies for home delivery
S8420 0010 3 Gradient pressure aid (sleeve and glove combination), custom made Custom gradient sleev/glov
S8421 0010 3 Gradient pressure aid (sleeve and glove combination), ready made Ready gradient sleev/glov
S8422 0010 3 Gradient pressure aid (sleeve), custom made, medium weight Custom grad sleeve med
S8423 0010 3 Gradient pressure aid (sleeve), custom made, heavy weight Custom grad sleeve heavy
S8424 0010 3 Gradient pressure aid (sleeve), ready made Ready gradient sleeve
S8425 0010 3 Gradient pressure aid (glove), custom made, medium weight Custom grad glove med
S8426 0010 3 Gradient pressure aid (glove), custom made, heavy weight Custom grad glove heavy
S8427 0010 3 Gradient pressure aid (glove), ready made Ready gradient glove
S8428 0010 3 Gradient pressure aid (gauntlet), ready made Ready gradient gauntlet
S8429 0010 3 Gradient pressure exterior wrap Gradient pressure wrap
S8430 0010 3 Padding for compression bandage, roll Padding for comprssn bdg
S8431 0010 3 Compression bandage, roll Compression bandage
S8450 0010 3 Splint, prefabricated, digit (specify digit by use of modifier) Splint digit
S8451 0010 3 Splint, prefabricated, wrist or ankle Splint wrist or ankle
S8452 0010 3 Splint, prefabricated, elbow Splint elbow
S8460 0010 3 Camisole, post-mastectomy Camisole post-mast
S8490 0010 3 Insulin syringes (100 syringes, any size) 100 insulin syringes
S8930 0010 3 Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with the patient Auricular electrostimulation
S8940 0010 3 Equestrian/hippotherapy, per session Hippotherapy per session
S8948 0010 3 Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes Low-level laser trmt 15 min
S8950 0010 3 Complex lymphedema therapy, each 15 minutes Complex lymphedema therapy,
S8990 0010 3 Physical or manipulative therapy performed for maintenance rather than restoration Pt or manip for maint
S8999 0010 3 Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event) Resuscitation bag
S9001 0010 3 Home uterine monitor with or without associated nursing services Home uterine monitor with or
S9007 0010 3 Ultrafiltration monitor Ultrafiltration monitor
S9015 0010 3 Automated eeg monitoring Automated eeg monitoring
S9024 0010 3 Paranasal sinus ultrasound Paranasal sinus ultrasound
S9025 0010 3 Omnicardiogram/cardiointegram Omnicardiogram/cardiointegra
S9034 0010 3 Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265) Eswl for gallstones
S9055 0010 3 Procuren or other growth factor preparation to promote wound healing Procuren or other growth fac
S9056 0010 3 Coma stimulation per diem Coma stimulation per diem
S9061 0010 3 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 Medical supplies and equipme
S9083 0010 3 Global fee urgent care centers Urgent care center global
S9088 0010 3 Services provided in an urgent care center (list in addition to code for service) Services provided in urgent
S9090 0010 3 Vertebral axial decompression, per session Vertebral axial decompressio
S9097 0010 3 Home visit for wound care Home visit wound care
S9098 0010 3 Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem Home phototherapy visit
S9110 0010 3 Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month Telemonitoring/home per mnth
S9117 0010 3 Back school, per visit Back school visit
S9122 0010 3 Home health aide or certified nurse assistant, providing care in the home; per hour Home health aide or certifie
S9123 0010 3 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) Nursing care in home rn
S9124 0010 3 Nursing care, in the home; by licensed practical nurse, per hour Nursing care, in the home; b
S9125 0010 3 Respite care, in the home, per diem Respite care, in the home, p
S9126 0010 3 Hospice care, in the home, per diem Hospice care, in the home, p
S9127 0010 3 Social work visit, in the home, per diem Social work visit, in the ho
S9128 0010 3 Speech therapy, in the home, per diem Speech therapy, in the home,
S9129 0010 3 Occupational therapy, in the home, per diem Occupational therapy, in the
S9131 0010 3 Physical therapy; in the home, per diem Pt in the home per diem
S9140 0010 3 Diabetic management program, follow-up visit to non-md provider Diabetic management program,
S9141 0010 3 Diabetic management program, follow-up visit to md provider Diabetic management program,
S9145 0010 3 Insulin pump initiation, instruction in initial use of pump (pump not included) Insulin pump initiation
S9150 0010 3 Evaluation by ocularist Evaluation by ocularist
S9152 0010 3 Speech therapy, re-evaluation Speech therapy, re-eval
S9208 0010 3 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) Home mgmt preterm labor
S9209 0010 3 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) Home mgmt pprom
S9211 0010 3 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) Home mgmt gest hypertension
S9212 0010 3 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) Hm postpar hyper per diem
S9213 0010 3 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) Hm preeclamp per diem
S9214 0010 3 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) Hm gest dm per diem
S9325 0010 3 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) Hit pain mgmt per diem
S9326 0010 3 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 Hit cont pain per diem
S9327 0010 3 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 Hit int pain per diem
S9328 0010 3 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 Hit pain imp pump diem
S9329 0010 3 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) Hit chemo per diem
S9330 0010 3 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 Hit cont chem diem
S9331 0010 3 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 Hit intermit chemo diem
S9335 0010 3 Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem Ht hemodialysis diem
S9336 0010 3 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 Hit cont anticoag diem
S9338 0010 3 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 Hit immunotherapy diem
S9339 0010 3 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 Hit periton dialysis diem
S9340 0010 3 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 Hit enteral per diem
S9341 0010 3 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 Hit enteral grav diem
S9342 0010 3 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 Hit enteral pump diem
S9343 0010 3 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 Hit enteral bolus nurs
S9345 0010 3 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 Hit anti-hemophil diem
S9346 0010 3 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 Hit alpha-1-proteinas diem
S9347 0010 3 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 Hit longterm infusion diem
S9348 0010 3 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 Hit sympathomim diem
S9349 0010 3 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 Hit tocolysis diem
S9351 0010 3 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 Hit cont antiemetic diem
S9353 0010 3 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 Hit cont insulin diem
S9355 0010 3 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 Hit chelation diem
S9357 0010 3 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 Hit enzyme replace diem
S9359 0010 3 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 Hit anti-tnf per diem
S9361 0010 3 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 Hit diuretic infus diem
S9363 0010 3 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 Hit anti-spasmotic diem
S9364 0010 3 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) Hit tpn total diem
S9365 0010 3 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 Hit tpn 1 liter diem
S9366 0010 3 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 Hit tpn 2 liter diem
S9367 0010 3 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 Hit tpn 3 liter diem
S9368 0010 3 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 Hit tpn over 3l diem
S9370 0010 3 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 Ht inj antiemetic diem
S9372 0010 3 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) Ht inj anticoag diem
S9373 0010 3 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) Hit hydra total diem
S9374 0010 3 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 Hit hydra 1 liter diem
S9375 0010 3 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 Hit hydra 2 liter diem
S9376 0010 3 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 Hit hydra 3 liter diem
S9377 0010 3 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 Hit hydra over 3l diem
S9379 0010 3 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 Hit noc per diem
S9381 0010 3 Delivery or service to high risk areas requiring escort or extra protection, per visit Hit high risk/escort
S9401 0010 3 Anticoagulation clinic, inclusive of all services except laboratory tests, per session Anticoag clinic per session
S9430 0010 3 Pharmacy compounding and dispensing services Pharmacy comp/disp serv
S9433 0010 3 Medical food nutritionally complete, administered orally, providing 100% of nutritional intake Medical food oral 100% nutr
S9434 0010 3 Modified solid food supplements for inborn errors of metabolism Mod solid food suppl
S9435 0010 3 Medical foods for inborn errors of metabolism Medical foods for inborn err
S9436 0010 3 Childbirth preparation/lamaze classes, non-physician provider, per session Lamaze class
S9437 0010 3 Childbirth refresher classes, non-physician provider, per session Childbirth refresher class
S9438 0010 3 Cesarean birth classes, non-physician provider, per session Cesarean birth class
S9439 0010 3 Vbac (vaginal birth after cesarean) classes, non-physician provider, per session Vbac class
S9441 0010 3 Asthma education, non-physician provider, per session Asthma education
S9442 0010 3 Birthing classes, non-physician provider, per session Birthing class
S9443 0010 3 Lactation classes, non-physician provider, per session Lactation class
S9444 0010 3 Parenting classes, non-physician provider, per session Parenting class
S9445 0010 3 Patient education, not otherwise classified, non-physician provider, individual, per session Pt education noc individ
S9446 0010 3 Patient education, not otherwise classified, non-physician provider, group, per session Pt education noc group
S9447 0010 3 Infant safety (including cpr) classes, non-physician provider, per session Infant safety class
S9449 0010 3 Weight management classes, non-physician provider, per session Weight mgmt class
S9451 0010 3 Exercise classes, non-physician provider, per session Exercise class
S9452 0010 3 Nutrition classes, non-physician provider, per session Nutrition class
S9453 0010 3 Smoking cessation classes, non-physician provider, per session Smoking cessation class
S9454 0010 3 Stress management classes, non-physician provider, per session Stress mgmt class
S9455 0010 3 Diabetic management program, group session Diabetic management program,
S9460 0010 3 Diabetic management program, nurse visit Diabetic management program,
S9465 0010 3 Diabetic management program, dietitian visit Diabetic management program,
S9470 0010 3 Nutritional counseling, dietitian visit Nutritional counseling, diet
S9472 0010 3 Cardiac rehabilitation program, non-physician provider, per diem Cardiac rehabilitation progr
S9473 0010 3 Pulmonary rehabilitation program, non-physician provider, per diem Pulmonary rehabilitation pro
S9474 0010 3 Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem Enterostomal therapy by a re
S9475 0010 3 Ambulatory setting substance abuse treatment or detoxification services, per diem Ambulatory setting substance
S9476 0010 3 Vestibular rehabilitation program, non-physician provider, per diem Vestibular rehab per diem
S9480 0010 3 Intensive outpatient psychiatric services, per diem Intensive outpatient psychia
S9482 0010 3 Family stabilization services, per 15 minutes Family stabilization 15 min
S9484 0010 3 Crisis intervention mental health services, per hour Crisis intervention per hour
S9485 0010 3 Crisis intervention mental health services, per diem Crisis intervention mental h
S9490 0010 3 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 Hit corticosteroid/diem
S9494 0010 3 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) Hit antibiotic total diem
S9497 0010 3 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 Hit antibiotic q3h diem
S9500 0010 3 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 Hit antibiotic q24h diem
S9501 0010 3 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 Hit antibiotic q12h diem
S9502 0010 3 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 Hit antibiotic q8h diem
S9503 0010 3 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 Hit antibiotic q6h diem
S9504 0010 3 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 Hit antibiotic q4h diem
S9529 0010 3 Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient Venipuncture home/snf
S9537 0010 3 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 Ht hem horm inj diem
S9538 0010 3 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 Hit blood products diem
S9542 0010 3 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 Ht inj noc per diem
S9558 0010 3 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 Ht inj growth horm diem
S9559 0010 3 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 Hit inj interferon diem
S9560 0010 3 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 Ht inj hormone diem
S9562 0010 3 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 Ht inj palivizumab diem
S9590 0010 3 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 Ht irrigation diem
S9810 0010 3 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) Ht pharm per hour
S9900 0010 3 Services by a journal-listed christian science practitioner for the purpose of healing, per diem Christian sci pract visit
S9901 0010 3 Services by a journal-listed christian science nurse, per hour Christian sci nurse visit
S9960 0010 3 Ambulance service, conventional air service, nonemergency transport, one way (fixed wing) Air ambulanc nonemerg fixed
S9961 0010 3 Ambulance service, conventional air service, nonemergency transport, one way (rotary wing) Air ambulan nonemerg rotary
S9970 0010 3 Health club membership, annual Health club membership yr
S9975 0010 3 Transplant related lodging, meals and transportation, per diem Transplant related per diem
S9976 0010 3 Lodging, per diem, not otherwise classified Lodging per diem
S9977 0010 3 Meals, per diem, not otherwise specified Meals per diem
S9981 0010 3 Medical records copying fee, administrative Med record copy admin
S9982 0010 3 Medical records copying fee, per page Med record copy per page
S9986 0010 3 Not medically necessary service (patient is aware that service not medically necessary) Not medically necessary svc
S9988 0010 3 Services provided as part of a phase i clinical trial Serv part of phase i trial
S9989 0010 3 Services provided outside of the united states of america (list in addition to code(s) for service(s)) Services outside us
S9990 0010 3 Services provided as part of a phase ii clinical trial Services provided as part of
S9991 0010 3 Services provided as part of a phase iii clinical trial Services provided as part of
S9992 0010 3 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 Transportation costs to and
S9994 0010 3 Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion Lodging costs (e.g. hotel ch
S9996 0010 3 Meals for clinical trial participant and one caregiver/companion Meals for clinical trial par
S9999 0010 3 Sales tax Sales tax