HCPCS Code Section: HCPCS S Codes

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 …

Sterile dilutant for epoprostenol, 50 ml Short Description: Epoprostenol dilutant Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2002 Effective …

Methadone, oral, 5 mg Short Description: Methadone oral 5mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: October 1, 2004 Effective Date: …

Injection, pegylated interferon alfa-2b, 10 mcg Short Description: Peg interferon alfa-2b/10 Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: October 1, 2010 …

Injection, pegylated interferon alfa-2a, 180 mcg per ml Short Description: Peg interferon alfa-2a/180 Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: July …