HCPCS Code Section: HCPCS S Codes

S0023

Injection, cimetidine hydrochloride, 300 mg Short Description: Injection, cimetidine hydroc Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective …

S0021

Injection, cefoperazone sodium, 1 gram Short Description: Injection, cefoperazone sod Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective …

S0020

Injection, bupivicaine hydrochloride, 30 ml Short Description: Injection, bupivicaine hydro Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective …

S0017

Injection, aminocaproic acid, 5 grams Short Description: Injection, aminocaproic acid Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective …

S0014

Tacrine hydrochloride, 10 mg Short Description: Tacrine hydrochloride, 10 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective …

S0012

Butorphanol tartrate, nasal spray, 25 mg Short Description: Butorphanol tartrate, nasal Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 …

S0092

Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump) Short Description: Hydromorphone 250 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date …

S0091

Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166) Short Description: Granisetron 1mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this …

S0090

Sildenafil citrate, 25 mg Short Description: Sildenafil citrate, 25 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective …

S0088

Imatinib, 100 mg Short Description: Imatinib 100 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2002 Effective Date: October …