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HCPCS S Code Lookup
HCPCS S codes are temporary national codes used by commercial payers and state Medicaid programs. Medicare does not pay S codes, so they appear on private payer claims for drugs such as fertility treatments and certain insulins.
S0169
Calcitriol- HCPCS Descriptor
- Calcitrol, oral, 0.25 microgram
- Manufacturer
- Multiple Manufacturers
- Class
- Endocrinology
Effective Oct 1, 2026
View details
S0136
CLOZAPINE- HCPCS Descriptor
- Clozapine, 25 mg
- Manufacturer
- Sun Pharma
- Class
- Psychiatric
- NDC
- 1
25 mg per unit
View details
S0160
DEXTROAMPHETAMINE SULFATE- HCPCS Descriptor
- Dextroamphetamine sulfate, 5 mg
- Manufacturer
- Sunrise Pharmaceutical
- Class
- Psychiatric
- NDC
- 1
5 mg per unit
View details
S0128
FOLLISTIM AQ- HCPCS Descriptor
- Injection, follitropin beta, 75 iu
- Manufacturer
- Merck
- Class
- Fertility
- NDC
- 1
75 iu per unit
View details
S0132
GANIRELIX ACETATE- HCPCS Descriptor
- Injection, ganirelix acetate, 250 mcg
- Manufacturer
- Multiple Manufacturers
- Class
- Fertility
- NDCs
- 3
250 mcg per unit
View details
S0126
GONAL-F RFF REDI-JECT- HCPCS Descriptor
- Injection, follitropin alfa, 75 iu
- Manufacturer
- Multiple Manufacturers
- Class
- Fertility
- NDCs
- 4
75 iu per unit
View details
S5550
HUMULIN R U-500- HCPCS Descriptor
- Insulin, rapid onset, 5 units
- Manufacturer
- Eli Lilly
- Class
- Insulin
- NDC
- 1
5 units per unit
View details
S5553
LANTUS SOLOSTAR PEN- HCPCS Descriptor
- Insulin, long acting; 5 units
- Manufacturer
- Sanofi
- Class
- Insulin
- NDC
- 1
5 units per unit
View details
S0122
MENOPUR- HCPCS Descriptor
- Injection, menotropins, 75 iu
- Manufacturer
- Ferring Pharmaceuticals Inc
- Class
- Fertility
- NDC
- 1
75 iu per unit
View details
S0109
METHADONE HCL- HCPCS Descriptor
- Methadone, oral, 5 mg
- Manufacturer
- Ascend Laboratories
- Class
- Anti-Addiction
- NDC
- 1
5 mg per unit
View details
S1091
Propel- HCPCS Descriptor
- Stent, non-coronary, temporary, with delivery system (propel)
- Manufacturer
- Intersect ENT
- Class
- Ophthalmology
- NDCs
- 4
370 mcg per unit
View details
S0157
REGRANEX- HCPCS Descriptor
- Becaplermin gel 0.01%, 0.5 gm
- Manufacturer
- Smith & Nephew
- Class
- Misc.
- NDC
- 1
0.5 gm per unit
View details
S0148
SYLATRON- HCPCS Descriptor
- Injection, pegylated interferon alfa-2b, 10 mcg
- Manufacturer
- Merck
- Class
- Oncology
- NDC
- 1
10 mcg per unit
View details
S0073
AZACTAM- HCPCS Descriptor
- Injection, aztreonam, 500 mg
- Manufacturer
- Multiple Manufacturers
- Class
- Antibiotic
- NDCs
- 4
Inactive June 30, 2023
View details
S0171
BUMETANIDE- HCPCS Descriptor
- Injection, bumetanide, 0.5 mg
- Manufacturer
- Multiple Manufacturers
- Class
- Diuretic
- NDCs
- 8
Inactive December 31, 2023
View details
S0020
BUPIVACAINE HCL- HCPCS Descriptor
- Injection, bupivicaine hydrochloride, 30 ml
- Manufacturer
- Multiple Manufacturers
- Class
- Anesthetic
- NDCs
- 5
Inactive June 30, 2023
View details
S0166
OLANZAPINE- HCPCS Descriptor
- Injection, olanzapine, 2.5 mg
- Manufacturer
- Multiple Manufacturers
- Class
- Psychiatric
- NDCs
- 2
Inactive September 30, 2023
View details
S0164
PROTONIX- HCPCS Descriptor
- Injection, pantoprazole sodium, 40 mg
- Manufacturer
- Multiple Manufacturers
- Class
- Gastroenterology
- NDCs
- 4
Inactive June 30, 2024
View details
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