HCPCS Code S0273

Physician visit at member's home, outside of a capitation arrangement
Code effective Apr 01, 2007

HCPCS Section
Commercial Payers (Temporary Codes)

S0273 is a valid 2026 HCPCS code meaning Physician visit at member's home, outside of a capitation arrangement or (Md home visit outside cap) for short. HCPCS S0273 has been effective since 04/01/2007 and applies to Other medical items or services.

HCPCS Code Details - S0273

HCPCS Level II Code
Section S - Commercial Payers (Temporary Codes)
HCPCS Code S0273
Description

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

Short description:
Md home visit outside cap

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

See also

  • HCPCS S0272 · Physician management of patient home care, episodic care monthly case rate (per 30 days)

  • HCPCS S0274 · Nurse practitioner visit at member's home, outside of a capitation arrangement

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”

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 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.