HCPCS Code Section: HCPCS S Codes

S4990

Nicotine patches, legend Short Description: Nicotine patch legend Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2002 Effective Date: January …

S4989

Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies Short Description: Contracept iud Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: …

S4981

Insertion of levonorgestrel-releasing intrauterine system Short Description: Insert levonorgestrel ius Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: July 1, 2001 Effective …

S4042

Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle Short Description: Ovulation mgmt per cycle Coverage Code: Not payable by …

S4040

Monitoring and storage of cryopreserved embryos, per 30 days Short Description: Monit store cryo embryo 30 d Coverage Code: Not payable by Medicare Action Code: No maintenance for this …

S4037

Cryopreserved embryo transfer, case rate Short Description: Cryo embryo transf case rate Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, …

S4035

Stimulated intrauterine insemination (iui), case rate Short Description: Stimulated iui case rate Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, …

S4031

Sperm procurement and cryopreservation services; subsequent visit Short Description: Sperm procure subs visit Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January …

S4030

Sperm procurement and cryopreservation services; initial visit Short Description: Sperm procure init visit Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January …

S4028

Microsurgical epididymal sperm aspiration (mesa) Short Description: Microsurg epi sperm asp Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2002 …