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.

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• S8185

  Flutter device

• S8186

  Swivel adapter

• S8189

  Tracheostomy supply, not otherwise classified

• S8210

  Mucus trap

• S8262

  Mandibular orthopedic repositioning device, each

• S8265

  Haberman feeder for cleft lip/palate

• S8270

  Enuresis alarm, using auditory buzzer and/or vibration device

• S8301

  Infection control supplies, not otherwise specified

• S8415

  Supplies for home delivery of infant

• S8420

  Gradient pressure aid (sleeve and glove combination), custom made

• S8421

  Gradient pressure aid (sleeve and glove combination), ready made

• S8422

  Gradient pressure aid (sleeve), custom made, medium weight

• S8423

  Gradient pressure aid (sleeve), custom made, heavy weight

• S8424

  Gradient pressure aid (sleeve), ready made

• S8425

  Gradient pressure aid (glove), custom made, medium weight

• S8426

  Gradient pressure aid (glove), custom made, heavy weight

• S8427

  Gradient pressure aid (glove), ready made

• S8428

  Gradient pressure aid (gauntlet), ready made

• S8429

  Gradient pressure exterior wrap

• S8430

  Padding for compression bandage, roll

• S8431

  Compression bandage, roll

• S8450

  Splint, prefabricated, digit (specify digit by use of modifier)

• S8451

  Splint, prefabricated, wrist or ankle

• S8452

  Splint, prefabricated, elbow

• S8460

  Camisole, post-mastectomy

• S8490

  Insulin syringes (100 syringes, any size)

• S8930

  Electrical stimulation of auricular acupuncture points; each 15 minutes of personal one-on-one contact with the patient

• S8940

  Equestrian/hippotherapy, per session

• S8948

  Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes

• S8950

  Complex lymphedema therapy, each 15 minutes

• S8990

  Physical or manipulative therapy performed for maintenance rather than restoration

• S8999

  Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event)

• S9001

  Home uterine monitor with or without associated nursing services

• S9002

  Intra-vaginal motion sensor system, provides biofeedback for pelvic floor muscle rehabilitation device

• S9007

  Ultrafiltration monitor

• S9015

  Automated eeg monitoring

• S9024

  Paranasal sinus ultrasound

• S9025

  Omnicardiogram/cardiointegram

• S9034

  Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265)

• S9055

  Procuren or other growth factor preparation to promote wound healing

• S9056

  Coma stimulation per diem

• S9061

  Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

• S9083

  Global fee urgent care centers

• S9088

  Services provided in an urgent care center (list in addition to code for service)

• S9090

  Vertebral axial decompression, per session

• S9097

  Home visit for wound care

• S9098

  Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem

• S9110

  Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month

• S9117

  Back school, per visit

• S9122

  Home health aide or certified nurse assistant, providing care in the home; per hour

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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/3/2026

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