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HCPCS Procedure & Supply Codes
Private Payer Codes
section notes
S0000
section notes
S0199   Medically induced abortion by oral ingestion of medication including all associa...
S0201   Partial hospitalization services, less than 24 hours, per diem
S0207   Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport
S0208   Paramedic intercept, hospital-based als service (non-voluntary), non-transport
S0209   Wheelchair van, mileage, per mile
S0215   Non-emergency transportation; mileage, per mile
S0220   Medical conference by a physician with interdisciplinary team of health professi...
S0221   Medical conference by a physician with interdisciplinary team of health professi...
S0250   Comprehensive geriatric assessment and treatment planning performed by assessmen...
S0255   Hospice referral visit (advising patient and family of care options) performed b...
S0257   Counseling and discussion regarding advance directives or end of life care plann...
S0260   History and physical (outpatient or office) related to surgical procedure (list ...
S0265   Genetic counseling, under physician supervision, each 15 minutes
S0270   Physician management of patient home care, standard monthly case rate (per 30 days)
S0271   Physician management of patient home care, hospice monthly case rate (per 30 days)
S0272   Physician management of patient home care, episodic care monthly case rate (per ...
S0273   Physician visit at member's home, outside of a capitation arrangement
S0274   Nurse practitioner visit at member's home, outside of a capitation arrangement
S0280   Medical home program, comprehensive care coordination and planning, initial plan
S0281   Medical home program, comprehensive care coordination and planning, maintenance ...
S0285   Colonoscopy consultation performed prior to a screening colonoscopy procedure
S0302   Completed early periodic screening diagnosis and treatment (epsdt) service (list...
S0310   Hospitalist services (list separately in addition to code for appropriate evalua...
S0311   Comprehensive management and care coordination for advanced illness, per calenda...
S0315   Disease management program; initial assessment and initiation of the program
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 member for...
S0340   Lifestyle modification program for management of coronary artery disease, includ...
S0341   Lifestyle modification program for management of coronary artery disease, includ...
S0342   Lifestyle modification program for management of coronary artery disease, includ...
S0353   Treatment planning and care coordination management for cancer, initial treatment
S0354   Treatment planning and care coordination management for cancer, established pati...
S0390   Routine foot care; removal and/or trimming of corns, calluses and/or nails and p...
S0395   Impression casting of a foot performed by a practitioner other than the manufact...
S0400   Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)
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 lens)
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
S0596   Phakic intraocular lens for correction of refractive error
S0601   Screening proctoscopy
S0610   Annual gynecological examination, new patient
S0612   Annual gynecological examination, established patient
S0613   Annual gynecological examination; clinical breast examination without pelvic eva...
S0618   Audiometry for hearing aid evaluation to determine the level and degree of heari...
S0620   Routine ophthalmological examination including refraction; new patient
S0621   Routine ophthalmological examination including refraction; established patient
S0622   Physical exam for college, new or established patient (list separately in additi...
S0630   Removal of sutures; by a physician other than the physician who originally close...
S0800   Laser in situ keratomileusis (lasik)
S0810   Photorefractive keratectomy (prk)
S0812   Phototherapeutic keratectomy (ptk)
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