HCPCS Service Codes - Other medical items or services

HCPCS Service Code 9 for Other medical items or services.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Other medical items or services

  • S4040

    Monitoring and storage of cryopreserved embryos, per 30 days

  • S4042

    Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle

  • S4988

    Penile contracture device, manual, greater than 3 lbs traction force

  • S4989

    Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies

  • S4990

    Nicotine patches, legend

  • S4991

    Nicotine patches, non-legend

  • S4993

    Contraceptive pills for birth control

  • S4995

    Smoking cessation gum

  • S5000

    Prescription drug, generic

  • S5001

    Prescription drug, brand name

  • S5010

    5% dextrose and 0.45% normal saline, 1000 ml

  • S5011

    5% dextrose in lactated ringer's, 1000 ml

  • S5012

    5% dextrose with potassium chloride, 1000 ml

  • S5013

    5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml

  • S5014

    5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml

  • S5035

    Home infusion therapy, routine service of infusion device (e.g., pump maintenance)

  • S5036

    Home infusion therapy, repair of infusion device (e.g., pump repair)

  • S5100

    Day care services, adult; per 15 minutes

  • S5101

    Day care services, adult; per half day

  • S5102

    Day care services, adult; per diem

  • S5105

    Day care services, center-based; services not included in program fee, per diem

  • S5108

    Home care training to home care client, per 15 minutes

  • S5109

    Home care training to home care client, per session

  • S5110

    Home care training, family; per 15 minutes

  • S5111

    Home care training, family; per session

  • S5115

    Home care training, non-family; per 15 minutes

  • S5116

    Home care training, non-family; per session

  • S5120

    Chore services; per 15 minutes

  • S5121

    Chore services; per diem

  • S5125

    Attendant care services; per 15 minutes

  • S5126

    Attendant care services; per diem

  • S5130

    Homemaker service, nos; per 15 minutes

  • S5131

    Homemaker service, nos; per diem

  • S5135

    Companion care, adult (e.g., iadl/adl); per 15 minutes

  • S5136

    Companion care, adult (e.g., iadl/adl); per diem

  • S5140

    Foster care, adult; per diem

  • S5141

    Foster care, adult; per month

  • S5145

    Foster care, therapeutic, child; per diem

  • S5146

    Foster care, therapeutic, child; per month

  • S5150

    Unskilled respite care, not hospice; per 15 minutes

  • S5151

    Unskilled respite care, not hospice; per diem

  • S5160

    Emergency response system; installation and testing

  • S5161

    Emergency response system; service fee, per month (excludes installation and testing)

  • S5162

    Emergency response system; purchase only

  • S5165

    Home modifications; per service

  • S5170

    Home delivered meals, including preparation; per meal

  • S5175

    Laundry service, external, professional; per order

  • S5180

    Home health respiratory therapy, initial evaluation

  • S5181

    Home health respiratory therapy, nos, per diem

  • S5185

    Medication reminder service, non-face-to-face; per month