Blue Cross/Blue Shield and other commercial payers develop S codes to report drugs, services, and supplies. These codes may not be used to bill services paid under any Medicare payment system. Medicare does not reimburse for services under S codes.


  • S2065

    Simultaneous pancreas kidney transplantation
  • S2066

    Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
  • S2067

    Breast reconstruction of a single breast with "stacked" deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral
  • S2068

    Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
  • S2070

    Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization)
  • S2079

    Laparoscopic esophagomyotomy (heller type)
  • S2080

    Laser-assisted uvulopalatoplasty (laup)
  • S2083

    Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline
  • S2095

    Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres
  • S2102

    Islet cell tissue transplant from pancreas; allogeneic


  • Continued
  • S2103

    Adrenal tissue transplant to brain
  • S2107

    Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment
  • S2112

    Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)
  • S2115

    Osteotomy, periacetabular, with internal fixation
  • S2117

    Arthroereisis, subtalar
  • S2118

    Metal-on-metal total hip resurfacing, including acetabular and femoral components
  • S2120

    Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation
  • 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), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; marrow ablative therapy; drugs, supplies, hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services; and the number of days of pre-and post-transplant care in the global definition
  • S2152

    Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services, and the number of days of pre- and post-transplant care in the global definition
  • S2202

    Echosclerotherapy
  • S2205

    Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft
  • S2206

    Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts
  • S2207

    Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft
  • S2208

    Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous graft
  • S2209

    Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft
  • S2225

    Myringotomy, laser-assisted
  • S2230

    Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear
  • S2235

    Implantation of auditory brain stem implant


  • Continued
  • S2260

    Induced abortion, 17 to 24 weeks
  • S2265

    Induced abortion, 25 to 28 weeks
  • S2266

    Induced abortion, 29 to 31 weeks
  • S2267

    Induced abortion, 32 weeks or greater
  • 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 endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral
  • S2348

    Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar
  • S2350

    Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace
  • S2351

    Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure)
  • S2360

    Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; cervical
  • S2361

    Each additional cervical vertebral body (list separately in addition to code for primary procedure)
  • S2400

    Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero
  • S2401

    Repair, urinary tract obstruction in the fetus, procedure performed in utero
  • S2402

    Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero
  • S2403

    Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero
  • S2404

    Repair, myelomeningocele in the fetus, procedure performed in utero
  • S2405

    Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero