HCPCS Code Section: HCPCS S Codes

S0077

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 …

S0074

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 …

S0073

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 …

S0040

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 …

S0039

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 …

S0108

Mercaptopurine, oral, 50 mg Short Description: Mercaptopurine 50 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, 2002 Effective Date: …

S0034

Injection, ofloxacin, 400 mg Short Description: Injection, ofloxacin, 400 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective …

S0106

Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets Short Description: Bupropion hcl sr 60 tablets Coverage Code: Not payable by Medicare Action Code: No maintenance …

S0032

Injection, nafcillin sodium, 2 grams Short Description: Injection, nafcillin sodium Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2000 Effective …

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 …