HCPCS Level II codes starting with S

533 codes, page 1 of 6. Every code ever valid for billing is listed, including those now retired.

Code	Description	Status
S0012	Butorphanol tartrate, nasal spray, 25 mg	Valid
S0013	Esketamine, nasal spray, 1 mg through FY2026	Terminated
S0014	Tacrine hydrochloride, 10 mg	Valid
S0017	Injection, aminocaproic acid, 5 grams through FY2026	Terminated
S0020	Injection, bupivicaine hydrochloride, 30 ml through FY2026	Terminated
S0021	Injection, cefoperazone sodium, 1 gram	Valid
S0023	Injection, cimetidine hydrochloride, 300 mg	Valid
S0028	Injection, famotidine, 20 mg through FY2026	Terminated
S0030	Injection, metronidazole, 500 mg through FY2026	Terminated
S0032	Injection, nafcillin sodium, 2 grams through FY2026	Terminated
S0034	Injection, ofloxacin, 400 mg	Valid
S0039	Injection, sulfamethoxazole and trimethoprim, 10 ml through FY2026	Terminated
S0040	Injection, ticarcillin disodium and clavulanate potassium, 3.1 grams	Valid
S0073	Injection, aztreonam, 500 mg through FY2026	Terminated
S0074	Injection, cefotetan disodium, 500 mg through FY2026	Terminated
S0077	Injection, clindamycin phosphate, 300 mg through FY2026	Terminated
S0078	Injection, fosphenytoin sodium, 750 mg	Valid
S0080	Injection, pentamidine isethionate, 300 mg through FY2026	Terminated
S0081	Injection, piperacillin sodium, 500 mg	Valid
S0088	Imatinib, 100 mg	Valid
S0090	Sildenafil citrate, 25 mg	Valid
S0091	Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166)	Valid
S0092	Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump)	Valid
S0093	Injection, morphine sulfate, 500 mg (loading dose for infusion pump)	Valid
S0104	Zidovudine, oral, 100 mg	Valid
S0106	Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets	Valid
S0108	Mercaptopurine, oral, 50 mg	Valid
S0109	Methadone, oral, 5 mg	Valid
S0117	Tretinoin, topical, 5 grams	Valid
S0119	Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)	Valid
S0122	Injection, menotropins, 75 iu	Valid
S0126	Injection, follitropin alfa, 75 iu	Valid
S0128	Injection, follitropin beta, 75 iu	Valid
S0132	Injection, ganirelix acetate, 250 mcg	Valid
S0136	Clozapine, 25 mg	Valid
S0137	Didanosine (ddi), 25 mg	Valid
S0138	Finasteride, 5 mg	Valid
S0139	Minoxidil, 10 mg	Valid
S0140	Saquinavir, 200 mg	Valid
S0142	Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg	Valid
S0144	Injection, propofol, 10 mg through FY2026	Terminated
S0145	Injection, pegylated interferon alfa-2a, 180 mcg per ml	Valid
S0148	Injection, pegylated interferon alfa-2b, 10 mcg	Valid
S0155	Sterile dilutant for epoprostenol, 50 ml	Valid
S0156	Exemestane, 25 mg	Valid
S0157	Becaplermin gel 0.01%, 0.5 gm	Valid
S0160	Dextroamphetamine sulfate, 5 mg	Valid
S0164	Injection, pantoprazole sodium, 40 mg through FY2026	Terminated
S0166	Injection, olanzapine, 2.5 mg through FY2026	Terminated
S0169	Calcitrol, oral, 0.25 microgram	Valid
S0170	Anastrozole, oral, 1 mg	Valid
S0171	Injection, bumetanide, 0.5 mg through FY2026	Terminated
S0172	Chlorambucil, oral, 2 mg	Valid
S0174	Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)	Valid
S0175	Flutamide, oral, 125 mg	Valid
S0176	Hydroxyurea, oral, 500 mg	Valid
S0177	Levamisole hydrochloride, oral, 50 mg	Valid
S0178	Lomustine, oral, 10 mg	Valid
S0179	Megestrol acetate, oral, 20 mg	Valid
S0182	Procarbazine hydrochloride, oral, 50 mg	Valid
S0183	Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)	Valid
S0187	Tamoxifen citrate, oral, 10 mg	Valid
S0189	Testosterone pellet, 75 mg through FY2026	Terminated
S0190	Mifepristone, oral, 200 mg	Valid
S0191	Misoprostol, oral, 200 mcg	Valid
S0194	Dialysis/stress vitamin supplement, oral, 100 capsules	Valid
S0195	Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine through FY2026	Terminated
S0197	Prenatal vitamins, 30-day supply	Valid
S0199	Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs	Valid
S0201	Partial hospitalization services, less than 24 hours, per diem	Valid
S0207	Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport	Valid
S0208	Paramedic intercept, hospital-based als service (non-voluntary), non-transport	Valid
S0209	Wheelchair van, mileage, per mile	Valid
S0215	Non-emergency transportation; mileage, per mile	Valid
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	Valid
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	Valid
S0250	Comprehensive geriatric assessment and treatment planning performed by assessment team	Valid
S0255	Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff	Valid
S0257	Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)	Valid
S0260	History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)	Valid
S0265	Genetic counseling, under physician supervision, each 15 minutes	Valid
S0270	Physician management of patient home care, standard monthly case rate (per 30 days)	Valid
S0271	Physician management of patient home care, hospice monthly case rate (per 30 days)	Valid
S0272	Physician management of patient home care, episodic care monthly case rate (per 30 days)	Valid
S0273	Physician visit at member's home, outside of a capitation arrangement	Valid
S0274	Nurse practitioner visit at member's home, outside of a capitation arrangement	Valid
S0280	Medical home program, comprehensive care coordination and planning, initial plan	Valid
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	Valid
S0285	Colonoscopy consultation performed prior to a screening colonoscopy procedure	Valid
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	Valid
S0310	Hospitalist services (list separately in addition to code for appropriate evaluation and management service)	Valid
S0311	Comprehensive management and care coordination for advanced illness, per calendar month	Valid
S0315	Disease management program; initial assessment and initiation of the program	Valid
S0316	Disease management program, follow-up/reassessment	Valid
S0317	Disease management program; per diem	Valid
S0320	Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month	Valid
S0340	Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage	Valid
S0341	Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage	Valid
S0342	Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage	Valid
S0353	Treatment planning and care coordination management for cancer, initial treatment	Valid