S-code: Temporary national codes (non-Medicare) Temporary national codes (non-Medicare)

533 codes

Billing context

S-codes are temporary national codes established for private payers and Medicaid programs. They are not payable by Medicare; whether a payer recognizes an S-code, and how it pays, varies by payer and contract.

S-codes, page 3 of 6
Code	Long descriptor	Payment limit (Q4 2026)	Added	Status
S2409	Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classifiedNOC / NOS	—	Jan 1, 2002	Active
S2411	Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome	—	Jan 1, 2002	Active
S2900	Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)	—	Jul 1, 2005	Active
S3000	Diabetic indicator; retinal eye exam, dilated, bilateral	—	Apr 1, 2003	Active
S3005	Performance measurement, evaluation of patient self assessment, depression	—	Apr 1, 2005	Active
S3600	Stat laboratory request (situations other than s3601)	—	Jan 1, 2002	Active
S3601	Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility	—	Jan 1, 2002	Active
S3620	Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total)	—	Jan 1, 2001	Active
S3630	Eosinophil count, blood, direct	—	Jan 1, 2002	Active
S3645	Hiv-1 antibody testing of oral mucosal transudate	—	Jan 1, 2000	Active
S3650	Saliva test, hormone level; during menopause	—	Jan 1, 2000	Active
S3652	Saliva test, hormone level; to assess preterm labor risk	—	Jan 1, 2000	Active
S3655	Antisperm antibodies test (immunobead)	—	Oct 1, 2002	Active
S3708	Gastrointestinal fat absorption study	—	Jan 1, 2001	Active
S3721	Prostate cancer antigen 3 (pca3) testing	—	Apr 1, 2012	Ended Dec 31, 2015
S3722	Dose optimization by area under the curve (auc) analysis, for infusional 5-fluorouracil	—	Jan 1, 2012	Active
S3800	Genetic testing for amyotrophic lateral sclerosis (als)	—	Jul 1, 2007	Active
S3840	Dna analysis for germline mutations of the ret proto-oncogene for susceptibility to multiple endocrine neoplasia type 2	—	Jul 1, 2003	Active
S3841	Genetic testing for retinoblastoma	—	Jul 1, 2003	Active
S3842	Genetic testing for von hippel-lindau disease	—	Jul 1, 2003	Active
S3844	Dna analysis of the connexin 26 gene (gjb2) for susceptibility to congenital, profound deafness	—	Jul 1, 2003	Active
S3845	Genetic testing for alpha-thalassemia	—	Jul 1, 2003	Active
S3846	Genetic testing for hemoglobin e beta-thalassemia	—	Jul 1, 2003	Active
S3849	Genetic testing for niemann-pick disease	—	Jul 1, 2003	Active
S3850	Genetic testing for sickle cell anemia	—	Jul 1, 2003	Active
S3852	Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer's disease	—	Jul 1, 2003	Active
S3853	Genetic testing for myotonic muscular dystrophy	—	Jan 1, 2004	Active
S3854	Gene expression profiling panel for use in the management of breast cancer treatment	—	Jan 1, 2006	Active
S3855	Genetic testing for detection of mutations in the presenilin - 1 gene	—	Jan 1, 2007	Ended Dec 31, 2014
S3861	Genetic testing, sodium channel, voltage-gated, type v, alpha subunit (scn5a) and variants for suspected brugada syndrome	—	Oct 1, 2008	Active
S3865	Comprehensive gene sequence analysis for hypertrophic cardiomyopathy	—	Apr 1, 2009	Active
S3866	Genetic analysis for a specific gene mutation for hypertrophic cardiomyopathy (hcm) in an individual with a known hcm mutation in the family	—	Apr 1, 2009	Active
S3870	Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability	—	Apr 1, 2009	Active
S3890	Dna analysis, fecal, for colorectal cancer screening	—	Apr 1, 2004	Ended Dec 31, 2015
S3900	Surface electromyography (emg)	—	Jul 1, 2001	Active
S3902	Ballistocardiogram	—	Jan 1, 2001	Active
S3904	Masters two step	—	Jan 1, 2001	Active
S4005	Interim labor facility global (labor occurring but not resulting in delivery)	—	Apr 1, 2002	Active
S4011	In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development	—	Jan 1, 2002	Active
S4013	Complete cycle, gamete intrafallopian transfer (gift), case rate	—	Apr 1, 2002	Active
S4014	Complete cycle, zygote intrafallopian transfer (zift), case rate	—	Apr 1, 2002	Active
S4015	Complete in vitro fertilization cycle, not otherwise specified, case rateNOC / NOS	—	Jan 1, 2002	Active
S4016	Frozen in vitro fertilization cycle, case rate	—	Jan 1, 2002	Active
S4017	Incomplete cycle, treatment cancelled prior to stimulation, case rate	—	Apr 1, 2002	Active
S4018	Frozen embryo transfer procedure cancelled before transfer, case rate	—	Jan 1, 2002	Active
S4020	In vitro fertilization procedure cancelled before aspiration, case rate	—	Jan 1, 2002	Active
S4021	In vitro fertilization procedure cancelled after aspiration, case rate	—	Jan 1, 2002	Active
S4022	Assisted oocyte fertilization, case rate	—	Jan 1, 2002	Active
S4023	Donor egg cycle, incomplete, case rate	—	Apr 1, 2002	Active
S4024	Air polymer-type a intrauterine foam, per study dose	—	Apr 1, 2025	Active
S4025	Donor services for in vitro fertilization (sperm or embryo), case rate	—	Jan 1, 2002	Active
S4026	Procurement of donor sperm from sperm bank	—	Jan 1, 2002	Active
S4027	Storage of previously frozen embryos	—	Jan 1, 2002	Active
S4028	Microsurgical epididymal sperm aspiration (mesa)	—	Jan 1, 2002	Active
S4030	Sperm procurement and cryopreservation services; initial visit	—	Jan 1, 2002	Active
S4031	Sperm procurement and cryopreservation services; subsequent visit	—	Jan 1, 2002	Active
S4035	Stimulated intrauterine insemination (iui), case rate	—	Apr 1, 2002	Active
S4037	Cryopreserved embryo transfer, case rate	—	Apr 1, 2002	Active
S4040	Monitoring and storage of cryopreserved embryos, per 30 days	—	Apr 1, 2002	Active
S4042	Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle	—	Jan 1, 2005	Active
S4981	Insertion of levonorgestrel-releasing intrauterine system	—	Jul 1, 2001	Active
S4988	Penile contracture device, manual, greater than 3 lbs traction force	—	Apr 1, 2024	Ended Mar 31, 2025
S4989	Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies	—	Jan 1, 2002	Active
S4990	Nicotine patches, legend	—	Jan 1, 2002	Active
S4991	Nicotine patches, non-legend	—	Jan 1, 2002	Active
S4993	Contraceptive pills for birth control	—	Apr 1, 2002	Active
S4995	Smoking cessation gum	—	Apr 1, 2002	Active
S5000	Prescription drug, generic	—	Jan 1, 2001	Active
S5001	Prescription drug, brand name	—	Jan 1, 2001	Active
S5010	5% dextrose and 0.45% normal saline, 1000 ml	—	Jan 1, 2001	Active
S5011	5% dextrose in lactated ringer's, 1000 ml	—	Jan 1, 2001	Ended Dec 31, 2015
S5012	5% dextrose with potassium chloride, 1000 ml	—	Jan 1, 2001	Active
S5013	5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml	—	Jan 1, 2001	Active
S5014	5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml	—	Jan 1, 2001	Active
S5035	Home infusion therapy, routine service of infusion device (e.g., pump maintenance)	—	Jan 1, 2002	Active
S5036	Home infusion therapy, repair of infusion device (e.g., pump repair)	—	Jan 1, 2002	Active
S5100	Day care services, adult; per 15 minutes	—	Jan 1, 2003	Active
S5101	Day care services, adult; per half day	—	Jan 1, 2003	Active
S5102	Day care services, adult; per diem	—	Jan 1, 2003	Active
S5105	Day care services, center-based; services not included in program fee, per diem	—	Jan 1, 2003	Active
S5108	Home care training to home care client, per 15 minutes	—	Apr 1, 2003	Active
S5109	Home care training to home care client, per session	—	Apr 1, 2003	Active
S5110	Home care training, family; per 15 minutes	—	Jan 1, 2003	Active
S5111	Home care training, family; per session	—	Jan 1, 2003	Active
S5115	Home care training, non-family; per 15 minutes	—	Jan 1, 2003	Active
S5116	Home care training, non-family; per session	—	Jan 1, 2003	Active
S5120	Chore services; per 15 minutes	—	Jan 1, 2003	Active
S5121	Chore services; per diem	—	Jan 1, 2003	Active
S5125	Attendant care services; per 15 minutes	—	Jan 1, 2003	Active
S5126	Attendant care services; per diem	—	Jan 1, 2003	Active
S5130	Homemaker service, nos; per 15 minutesNOC / NOS	—	Jan 1, 2003	Active
S5131	Homemaker service, nos; per diemNOC / NOS	—	Jan 1, 2003	Active
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	—	Jan 1, 2003	Active
S5136	Companion care, adult (e.g., iadl/adl); per diem	—	Jan 1, 2003	Active
S5140	Foster care, adult; per diem	—	Jan 1, 2003	Active
S5141	Foster care, adult; per month	—	Jan 1, 2003	Active
S5145	Foster care, therapeutic, child; per diem	—	Jan 1, 2003	Active
S5146	Foster care, therapeutic, child; per month	—	Jan 1, 2003	Active
S5150	Unskilled respite care, not hospice; per 15 minutesNOC / NOS	—	Jan 1, 2003	Active
S5151	Unskilled respite care, not hospice; per diemNOC / NOS	—	Jan 1, 2003	Active