HCPCS Codes for Other medical items or services


  • S0255

    Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff
  • 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)
  • S0260

    History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)
  • 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 30 days)
  • 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 of plan
  • S0285

    Colonoscopy consultation performed prior to a screening colonoscopy procedure
  • S0302

    Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)
  • S0310

    Hospitalist services (list separately in addition to code for appropriate evaluation and management service)
  • S0311

    Comprehensive management and care coordination for advanced illness, per calendar month
  • 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 monitoring purposes; per month
  • S0340

    Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage
  • S0341

    Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage
  • S0342

    Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage
  • S0353

    Treatment planning and care coordination management for cancer, initial treatment
  • S0354

    Treatment planning and care coordination management for cancer, established patient with a change of regimen
  • S0390

    Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit
  • S0395

    Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic
  • S0400

    Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)
  • S0515

    Scleral lens, liquid bandage device, per lens
  • 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 evaluation
  • S0618

    Audiometry for hearing aid evaluation to determine the level and degree of hearing loss
  • 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 addition to appropriate evaluation and management code)
  • S0630

    Removal of sutures; by a physician other than the physician who originally closed the wound
  • S0800

    Laser in situ keratomileusis (lasik)
  • S1015

    Iv tubing extension set
  • S1016

    Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel
  • S1034

    Artificial pancreas device system (e.g., low glucose suspend (lgs) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices
  • S1035

    Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system
  • S1036

    Transmitter; external, for use with artificial pancreas device system
  • S1037

    Receiver (monitor); external, for use with artificial pancreas device system
  • S1090

    Mometasone furoate sinus implant, 370 micrograms
  • S1091

    Stent, non-coronary, temporary, with delivery system (propel)
  • S2054

    Transplantation of multivisceral organs
  • S2055

    Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor