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.
Treatment planning and care coordination management for cancer, established patient with a change of regimen
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
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic
Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s)
Disposable contact lens, per lens
Single vision prescription lens (safety, athletic, or sunglass), per lens
Bifocal vision prescription lens (safety, athletic, or sunglass), per lens
Trifocal vision prescription lens (safety, athletic, or sunglass), per lens
Non-prescription lens (safety, athletic, or sunglass), per lens
Daily wear specialty contact lens, per lens
Continued
Color contact lens, per lens
Scleral lens, liquid bandage device, per lens
Safety eyeglass frames
Sunglasses frames
Polycarbonate lens (list this code in addition to the basic code for the lens)
Nonstandard lens (list this code in addition to the basic code for the lens)
Integral lens service, miscellaneous services reported separately
Comprehensive contact lens evaluation
Dispensing new spectacle lenses for patient supplied frame
Phakic intraocular lens for correction of refractive error
Screening proctoscopy
Annual gynecological examination, new patient
Annual gynecological examination, established patient
Annual gynecological examination; clinical breast examination without pelvic evaluation
Audiometry for hearing aid evaluation to determine the level and degree of hearing loss
Routine ophthalmological examination including refraction; new patient
Routine ophthalmological examination including refraction; established patient
Physical exam for college, new or established patient (list separately in addition to appropriate evaluation and management code)
Removal of sutures; by a physician other than the physician who originally closed the wound
Laser in situ keratomileusis (lasik)
Continued
Photorefractive keratectomy (prk)
Phototherapeutic keratectomy (ptk)
Deluxe item, patient aware (list in addition to code for basic item)
Customized item (list in addition to code for basic item)
Iv tubing extension set
Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel
Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt code)
Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code)
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
Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system
Transmitter; external, for use with artificial pancreas device system
Receiver (monitor); external, for use with artificial pancreas device system
Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)
Mometasone furoate sinus implant, 370 micrograms
Stent, non-coronary, temporary, with delivery system (propel)
Transplantation of small intestine and liver allografts
Transplantation of multivisceral organs
Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor
Lobar lung transplantation
Donor lobectomy (lung) for transplantation, living donor