HCPCS S-Codes
Commercial Payers (Temporary Codes)

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.

  • 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

  • S5190

    Wellness assessment, performed by non-physician
  • Continued

  • S5199

    Personal care item, nos, each

  • S5497

    Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

  • S5498

    Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem

  • S5501

    Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

  • S5502

    Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use)

  • S5517

    Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting

  • S5518

    Home infusion therapy, all supplies necessary for catheter repair

  • S5520

    Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion

  • S5521

    Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion

  • S5522

    Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included)

  • S5523

    Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)

  • S5550

    Insulin, rapid onset, 5 units

  • S5551

    Insulin, most rapid onset (lispro or aspart); 5 units

  • S5552

    Insulin, intermediate acting (nph or lente); 5 units

  • S5553

    Insulin, long acting; 5 units

  • S5560

    Insulin delivery device, reusable pen; 1.5 ml size

  • S5561

    Insulin delivery device, reusable pen; 3 ml size

  • S5565

    Insulin cartridge for use in insulin delivery device other than pump; 150 units

  • S5566

    Insulin cartridge for use in insulin delivery device other than pump; 300 units

  • S5570

    Insulin delivery device, disposable pen (including insulin); 1.5 ml size
  • Continued

  • S5571

    Insulin delivery device, disposable pen (including insulin); 3 ml size

  • S8030

    Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy

  • S8032

    Low-dose computed tomography for lung cancer screening

  • S8035

    Magnetic source imaging

  • S8037

    Magnetic resonance cholangiopancreatography (mrcp)

  • S8040

    Topographic brain mapping

  • S8042

    Magnetic resonance imaging (mri), low-field

  • S8055

    Ultrasound guidance for multifetal pregnancy reduction(s), technical component (only to be used when the physician doing the reduction procedure does not perform the ultrasound, guidance is included in the cpt code for multifetal pregnancy reduction - 59866)

  • S8080

    Scintimammography (radioimmunoscintigraphy of the breast), unilateral, including supply of radiopharmaceutical

  • S8085

    Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan)

  • S8092

    Electron beam computed tomography (also known as ultrafast ct, cine ct)

  • S8096

    Portable peak flow meter

  • S8097

    Asthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer)

  • S8100

    Holding chamber or spacer for use with an inhaler or nebulizer; without mask

  • S8101

    Holding chamber or spacer for use with an inhaler or nebulizer; with mask

  • S8110

    Peak expiratory flow rate (physician services)

  • S8120

    Oxygen contents, gaseous, 1 unit equals 1 cubic foot

  • S8121

    Oxygen contents, liquid, 1 unit equals 1 pound

  • S8130

    Interferential current stimulator, 2 channel

  • S8131

    Interferential current stimulator, 4 channel