HCPCS Code Section: HCPCS S Codes

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 …

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 …

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

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

Injection, fosphenytoin sodium, 750 mg Short Description: Injection, fosphenytoin sodi Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective …

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

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

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

Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams Short Description: Injection, ticarcillin disod Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January …

Injection, sulfamethoxazole and trimethoprim, 10 ml Short Description: Injection, sulfamethoxazole Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective …