HCPCS Code Section: HCPCS S Codes

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 …

Didanosine (ddi), 25 mg Short Description: Didanosine, 25 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, 2003 Effective Date: …

Clozapine, 25 mg Short Description: Clozapine, 25 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, 2003 Effective Date: April …

Injection, ganirelix acetate, 250 mcg Short Description: Inj ganirelix acetat 250 mcg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, …

Injection, follitropin beta, 75 iu Short Description: Inj follitropin beta 75 iu Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, …

Mifepristone, oral, 200 mg Short Description: Mifepristone, oral, 200 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2001 Effective …

Injection, pantoprazole sodium, 40 mg Short Description: Injection pantroprazole Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: April 1, 2004 Effective Date: …

Testosterone pellet, 75 mg Short Description: Testosterone pellet 75 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2002 Effective …

Tamoxifen citrate, oral, 10 mg Short Description: Tamoxifen 10 mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2002 Effective …