HCPCS Code Details - S0274

HCPCS Level II Code
Commercial Payers (Temporary Codes)
HCPCS Code S0274
Description

Long description:
Nurse practitioner visit at member's home, outside of a capitation arrangement

Short description:
Nurse practr visit outs cap

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code I - Not payable by Medicare
BETOS2 code Z2 - Undefined codes
HCPCS Action code N - No maintenance for this code
Type of service 9 - Other medical items or services
Effective date Effective Apr 01, 2007
Date added Added Apr 01, 2007
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS S0273 · Physician visit at member's home, outside of a capitation arrangement

  • HCPCS S0280 · Medical home program, comprehensive care coordination and planning, initial plan


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”