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 …

S0104

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

S0030

Injection, metronidazole, 500 mg Short Description: Injection, metronidazole Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective Date: January …

S0093

Injection, morphine sulfate, 500 mg (loading dose for infusion pump) Short Description: Morphine 500 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date …

S0028

Injection, famotidine, 20 mg Short Description: Injection, famotidine, 20 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective …