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Free 2009 HCPCS S Codes
S0012 Butorphanol tartrate, nasal spray, 25 mg
S0014 Tacrine hydrochloride, 10 mg
S0016 Terminated 3/31/2005 Injection, amikacin sulfate, 500 mg
S0017 Injection, aminocaproic acid, 5 grams
S0020 Injection, bupivicaine hydrochloride, 30 ml
S0021 Injection, cefoperazone sodium, 1 gram
S0023 Injection, cimetidine hydrochloride, 300 mg
S0028 Injection, famotidine, 20 mg
S0030 Injection, metronidazole, 500 mg
S0032 Injection, nafcillin sodium, 2 grams
S0034 Injection, ofloxacin, 400 mg
S0039 Injection, sulfamethoxazole and trimethoprim, 10 ml
S0040 Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams
S0071 Terminated 12/31/2005 Injection, acyclovir sodium, 50 mg
S0072 Terminated 12/31/2005 Injection, amikacin sulfate, 100 mg
S0073 Injection, aztreonam, 500 mg
S0074 Injection, cefotetan disodium, 500 mg
S0077 Injection, clindamycin phosphate, 300 mg
S0078 Injection, fosphenytoin sodium, 750 mg
S0080 Injection, pentamidine isethionate, 300 mg
S0081 Injection, piperacillin sodium, 500 mg
S0088 Imatinib, 100 mg
S0090 Sildenafil citrate, 25 mg
S0091 Granisetron hydrochloride, 1mg (for circumstances falling under the medicar...
S0092 Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion p...
S0093 Injection, morphine sulfate, 500 mg (loading dose for infusion pump)
S0104 Zidovudine, oral, 100 mg
S0106 Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets
S0107 Terminated 3/31/2005 Injection, omalizumab, 25 mg
S0108 Mercaptopurine, oral, 50 mg
S0109 Methadone, oral, 5 mg
S0114 Terminated 12/31/2005 Injection, treprostinil sodium, 0.5 mg
S0116 Terminated 6/30/2006 Bevacizumab, 100 mg
S0117 Tretinoin, topical, 5 grams
S0118 Terminated 12/31/2005 Injection, ziconotide, for intrathecal infusion, 1 mcg
S0122 Injection, menotropins, 75 iu
S0126 Injection, follitropin alfa, 75 iu
S0128 Injection, follitropin beta, 75 iu
S0132 Injection, ganirelix acetate, 250 mcg
S0133 Terminated 3/31/2006 Histrelin, implant, 50 mg
S0136 Clozapine, 25 mg
S0137 Didanosine (ddi), 25 mg
S0138 Finasteride, 5 mg
S0139 Minoxidil, 10 mg
S0140 Saquinavir, 200 mg
S0141 Terminated 9/30/2008 Zalcitabine (ddc), 0.375 mg
S0142 Colistimethate sodium, inhalation solution administered through dme, concen...
S0143 Aztreonam, inhalation solution administered through dme, concentrated form,...
S0145 Injection, pegylated interferon alfa-2a, 180 mcg per ml
S0146 Injection, pegylated interferon alfa-2b, 10 mcg per 0.5 ml
S0147 Terminated 12/31/2007 Injection, alglucosidase alfa, 20 mg
S0155 Sterile dilutant for epoprostenol, 50ml
S0156 Exemestane, 25 mg
S0157 Becaplermin gel 0.01%, 0.5 gm
S0158 Terminated 3/31/2005 Injection, laronidase, 0.58 mg
S0159 Terminated 3/31/2005 Injection, agalsidase beta, 35 mg
S0160 Dextroamphetamine sulfate, 5 mg
S0161 Calcitrol, 0.25 mg
S0162 Injection, efalizumab, 125 mg
S0164 Injection, pantoprazole sodium, 40 mg
S0166 Injection, olanzapine, 2.5 mg
S0167 Terminated 3/31/2007 Injection, apomorphine hydrochloride, 1 mg
S0168 Terminated 12/31/2005 Injection, azacitidine, 100 mg
S0170 Anastrozole, oral, 1mg
S0171 Injection, bumetanide, 0.5mg
S0172 Chlorambucil, oral, 2mg
S0173 Terminated 12/31/2005 Dexamethasone, oral, 4mg
S0174 Dolasetron mesylate, oral 50mg (for circumstances falling under the medicar...
S0175 Flutamide, oral, 125mg
S0176 Hydroxyurea, oral, 500mg
S0177 Levamisole hydrochloride, oral, 50mg
S0178 Lomustine, oral, 10mg
S0179 Megestrol acetate, oral, 20mg
S0180 Terminated 12/31/2007 Etonogestrel (contraceptive) implant system, including implant and supplies
S0181 Ondansetron hydrochloride, oral, 4mg (for circumstances falling under the m...
S0182 Procarbazine hydrochloride, oral, 50mg
S0183 Prochlorperazine maleate, oral, 5mg (for circumstances falling under the me...
S0187 Tamoxifen citrate, oral, 10mg
S0189 Testosterone pellet, 75mg
S0190 Mifepristone, oral, 200 mg
S0191 Misoprostol, oral, 200 mcg
S0194 Dialysis/stress vitamin supplement, oral, 100 capsules
S0195 Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children fro...
S0196 Injectable poly-l-lactic acid, restorative implant, 1 ml, face (deep dermis...
S0197 Prenatal vitamins, 30-day supply
S0198 Terminated 6/30/2006 Injection, pegaptanib sodium, 0.3 mg
S0199 Medically induced abortion by oral ingestion of medication including all as...
S0201 Partial hospitalization services, less than 24 hours, per diem
S0207 Paramedic intercept, non-hospital-based als service (non-voluntary), non-tr...
S0208 Paramedic intercept, hospital-based als service (non-voluntary), non-transp...
S0209 Wheelchair van, mileage, per mile
S0215 Non-emergency transportation; mileage, per mile
S0220 Medical conference by a physician with interdisciplinary team of health pro...
S0221 Medical conference by a physician with interdisciplinary team of health pro...
S0250 Comprehensive geriatric assessment and treatment planning performed by asse...
S0255 Hospice referral visit (advising patient and family of care options) perfor...
S0257 Counseling and discussion regarding advance directives or end of life care ...
S0260 History and physical (outpatient or office) related to surgical procedure (...
S0265 Genetic counseling, under physician supervision, each 15 minutes
S0270 Physician management of patient home care, standard monthly case rate (per ...
S0271 Physician management of patient home care, hospice monthly case rate (per 3...
S0272 Physician management of patient home care, episodic care monthly case rate ...
S0273 Physician visit at member's home, outside of a capitation arrangement
S0274 Nurse practitioner visit at member's home, outside of a capitation arrangem...
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service ...
S0310 Hospitalist services (list separately in addition to code for appropriate e...
S0315 Disease management program; initial assessment and initiation of the progra...
S0316 Disease management program, follow-up/reassessment
S0317 Disease management program; per diem
S0320 Telephone calls by a registered nurse to a disease management program membe...
S0340 Lifestyle modification program for management of coronary artery disease, i...
S0341 Lifestyle modification program for management of coronary artery disease, i...
S0342 Lifestyle modification program for management of coronary artery disease, i...
S0345 Electrocardiographic monitoring utilizing a home computerized telemetry sta...
S0346 Electrocardiographic monitoring utilizing a home computerized telemetry sta...
S0347 Electrocardiographic monitoring utilizing a home computerized telemetry sta...
S0390 Routine foot care; removal and/or trimming of corns, calluses and/or nails ...
S0395 Impression casting of a foot performed by a practitioner other than the man...
S0400 Global fee for extracorporeal shock wave lithotripsy treatment of kidney st...
S0500 Disposable contact lens, per lens
S0504 Single vision prescription lens (safety, athletic, or sunglass), per lens
S0506 Bifocal vision prescription lens (safety, athletic, or sunglass), per lens
S0508 Trifocal vision prescription lens (safety, athletic, or sunglass), per lens
S0510 Non-prescription lens (safety, athletic, or sunglass), per lens
S0512 Daily wear specialty contact lens, per lens
S0514 Color contact lens, per lens
S0515 Scleral lens, liquid bandage device, per lens
S0516 Safety eyeglass frames
S0518 Sunglasses frames
S0580 Polycarbonate lens (list this code in addition to the basic code for the le...
S0581 Nonstandard lens (list this code in addition to the basic code for the lens...
S0590 Integral lens service, miscellaneous services reported separately
S0592 Comprehensive contact lens evaluation
S0595 Dispensing new spectacle lenses for patient supplied frame
S0601 Screening proctoscopy
S0605 Digital rectal examination, annual
S0610 Annual gynecological examination, new patient
S0612 Annual gynecological examination, established patient
S0613 Annual gynecological examination; clinical breast examination without pelvi...
S0618 Audiometry for hearing aid evaluation to determine the level and degree of ...
S0620 Routine ophthalmological examination including refraction; new patient
S0621 Routine ophthalmological examination including refraction; established pati...
S0622 Physical exam for college, new or established patient (list separately in a...
S0625 Retinal telescreening by digital imaging of multiple different fundus areas...
S0630 Removal of sutures; by a physician other than the physician who originally ...
S0800 Laser in situ keratomileusis (lasik)
S0810 Photorefractive keratectomy (prk)
S0812 Phototherapeutic keratectomy (ptk)
S0820 Terminated 3/31/2007 Computerized corneal topography, unilateral
S1001 Deluxe item, patient aware (list in addition to code for basic item)
S1002 Customized item (list in addition to code for basic item)
S1015 Iv tubing extension set
S1016 Non-pvc (polyvinyl chloride) intravenous administration set, for use with d...
S1025 Inhaled nitric oxide for the treatment of hypoxic respiratory failure in th...
S1030 Continuous noninvasive glucose monitoring device, purchase (for physician i...
S1031 Continuous noninvasive glucose monitoring device, rental, including sensor,...
S1040 Cranial remolding orthosis, pediatric, rigid, with soft interface material,...
S2053 Transplantation of small intestine and liver allografts
S2054 Transplantation of multivisceral organs
S2055 Harvesting of donor multivisceral organs, with preparation and maintenance ...
S2060 Lobar lung transplantation
S2061 Donor lobectomy (lung) for transplantation, living donor
S2065 Simultaneous pancreas kidney transplantation
S2066 Breast reconstruction with gluteal artery perforator (gap) flap, including ...
S2067 Breast reconstruction of a single breast with "stacked" deep inferior epiga...
S2068 Breast reconstruction with deep inferior epigastric perforator (diep) flap ...
S2070 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic las...
S2075 Terminated 12/31/2008 Laparoscopy, surgical; repair incisional or ventral hernia
S2076 Terminated 12/31/2008 Laparoscopy, surgical; repair umbilical hernia
S2077 Laparoscopy, surgical; implantation of mesh or other prosthesis for incisio...
S2078 Laparoscopic supracervical hysterectomy (subtotal hysterectomy), with or wi...
S2079 Laparoscopic esophagomyotomy (heller type)
S2080 Laser-assisted uvulopalatoplasty (laup)
S2082 Laparoscopy, surgical; gastric restrictive procedure, adjustable gastric ba...
S2083 Adjustment of gastric band diameter via subcutaneous port by injection or a...
S2090 Terminated 12/31/2005 Ablation, open, one or more renal tumor(s); cryosurgical
S2091 Terminated 12/31/2005 Ablation, percutaneous, one or more renal tumor(s); cryosurgical
S2095 Transcatheter occlusion or embolization for tumor destruction, percutaneous...
S2102 Islet cell tissue transplant from pancreas; allogeneic
S2103 Adrenal tissue transplant to brain
S2107 Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (...
S2112 Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)
S2114 Terminated 12/31/2007 Arthroscopy, shoulder, surgical; tenodesis of biceps
S2115 Osteotomy, periacetabular, with internal fixation
S2117 Arthroereisis, subtalar
S2118 Metal-on-metal total hip resurfacing, including acetabular and femoral comp...
S2120 Low density lipoprotein (ldl) apheresis using heparin-induced extracorporea...
S2135 Neurolysis, by injection, of metatarsal neuroma/interdigital neuritis, any ...
S2140 Cord blood harvesting for transplantation, allogeneic
S2142 Cord blood-derived stem-cell transplantation, allogeneic
S2150 Bone marrow or blood-derived stem cells (peripheral or umbilical), allogene...
S2152 Solid organ(s), complete or segmental, single organ or combination of organ...
S2202 Echosclerotherapy
S2205 Minimally invasive direct coronary artery bypass surgery involving mini-tho...
S2206 Minimally invasive direct coronary artery bypass surgery involving mini-tho...
S2207 Minimally invasive direct coronary artery bypass surgery involving mini-tho...
S2208 Minimally invasive direct coronary artery bypass surgery involving mini-tho...
S2209 Minimally invasive direct coronary artery bypass surgery involving mini-tho...
S2213 Terminated 3/31/2007 Implantation of gastric electrical stimulation device
S2215 Upper gastrointestinal endoscopy, including esophagus, stomach, and either ...
S2225 Myringotomy, laser-assisted
S2230 Implantation of magnetic component of semi-implantable hearing device on os...
S2235 Implantation of auditory brain stem implant
S2250 Terminated 3/31/2007 Uterine artery embolization for uterine fibroids
S2260 Induced abortion, 17 to 24 weeks
S2262 Terminated 12/31/2006 Abortion for maternal indication, 25 weeks or greater
S2265 Induced abortion, 25 to 28 weeks
S2266 Induced abortion, 29 to 31 weeks
S2267 Induced abortion, 32 weeks or greater
S2270 Insertion of vaginal cylinder for application of radiation source or clinic...
S2300 Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy
S2325 Hip core decompression
S2340 Chemodenervation of abductor muscle(s) of vocal cord
S2341 Chemodenervation of adductor muscle(s) of vocal cord
S2342 Nasal endoscopy for post-operative debridement following functional endosco...
S2344 Nasal/sinus endoscopy, surgical; with enlargement of sinus ostium opening u...
S2348 Decompression procedure, percutaneous, of nucleus pulposus of intervertebra...
S2350 Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s...
S2351 Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s...
S2360 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral in...
S2361 Each additional cervical vertebral body (list separately in addition to cod...
S2362 Terminated 3/31/2006 Kyphoplasty, one vertebral body, unilateral or bilateral injection
S2363 Kyphoplasty, one vertebral body, unilateral or bilateral injection; each ad...
S2400 Repair, congenital diaphragmatic hernia in the fetus using temporary trache...
S2401 Repair, urinary tract obstruction in the fetus, procedure performed in uter...
S2402 Repair, congenital cystic adenomatoid malformation in the fetus, procedure ...
S2403 Repair, extralobar pulmonary sequestration in the fetus, procedure performe...
S2404 Repair, myelomeningocele in the fetus, procedure performed in utero
S2405 Repair of sacrococcygeal teratoma in the fetus, procedure performed in uter...
S2409 Repair, congenital malformation of fetus, procedure performed in utero, not...
S2411 Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome
S2900 Surgical techniques requiring use of robotic surgical system (list separate...
S3000 Diabetic indicator; retinal eye exam, dilated, bilateral
S3005 Performance measurement, evaluation of patient self assessment, depression
S3600 Stat laboratory request (situations other than s3601)
S3601 Emergency stat laboratory charge for patient who is homebound or residing ...
S3618 Terminated 12/31/2007 Blood chemistry for free beta human chorionic gonadotropin (hcg)
S3620 Newborn metabolic screening panel, includes test kit, postage and the labor...
S3625 Maternal serum triple marker screen including alpha-fetoprotein (afp), estr...
S3626 Maternal serum quadruple marker screen including alpha-fetoprotein (afp), e...
S3628 Placental alpha microglobulin-1 rapid immunoassay for detection of rupture ...
S3630 Eosinophil count, blood, direct
S3645 Hiv-1 antibody testing of oral mucosal transudate
S3650 Saliva test, hormone level; during menopause
S3652 Saliva test, hormone level; to assess preterm labor risk
S3655 Antisperm antibodies test (immunobead)
S3701 Terminated 3/31/2006 Immunoassay for nuclear matrix protein 22 (nmp-22), quantitative
S3708 Gastrointestinal fat absorption study
S3711 Circulating tumor cell test
S3800 Genetic testing for amyotrophic lateral sclerosis (als)