HCPCS Code Section: HCPCS S Codes

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 …

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 …

Injection, propofol, 10 mg Short Description: Inj, propofol, 10 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: July 1, 2014 Effective …

Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg Short Description: Colistimethate inh sol mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this …