HCPCS Code Section: HCPCS S Codes

S0166

Injection, olanzapine, 2.5 mg Short Description: Inj olanzapine 2.5mg Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: October 1, 2004 Effective Date: …

S0190

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 …

S0164

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: …

S0189

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 …

S0187

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 …

S0183

Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164) Short Description: Prochlorperazine 5 mg Coverage Code: Not payable by Medicare Action Code: No maintenance …

S0221

Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes Short …

S0220

Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes Short …

S0215

Non-emergency transportation; mileage, per mile Short Description: Nonemerg transp mileage Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 2002 Effective …

S0209

Wheelchair van, mileage, per mile Short Description: Wc van mileage per mi Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, …