HCPCS Code Section: HCPCS S Codes

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 …

Saquinavir, 200 mg Short Description: Saquinavir, 200 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, 2003 Effective Date: April …

Minoxidil, 10 mg Short Description: Minoxidil, 10 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, 2003 Effective Date: April …

Finasteride, 5 mg Short Description: Finasteride, 5 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, 2003 Effective Date: April …

Injection, bumetanide, 0.5 mg Short Description: Bumetanide 0.5 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2002 Effective Date: …

Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine Short Description: Pneumo vaccine 5-9 yrs Coverage …

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

Dialysis/stress vitamin supplement, oral, 100 capsules Short Description: Vitamin suppl 100 caps Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, …