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 6 of 6
Code	Long descriptor	Payment limit (Q4 2026)	Added	Status
S9502	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	—	Jan 1, 2002	Active
S9503	Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	—	Jan 1, 2002	Active
S9504	Home infusion therapy, antibiotic, antiviral, or antifungal; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	—	Jan 1, 2002	Active
S9529	Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient	—	Jan 1, 2002	Active
S9537	Home therapy; hematopoietic hormone injection therapy (e.g., erythropoietin, g-csf, gm-csf); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	—	Jan 1, 2002	Active
S9538	Home transfusion of blood product(s); administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (blood products, drugs, and nursing visits coded separately), per diem	—	Jan 1, 2002	Active
S9542	Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diemNOC / NOS	—	Jan 1, 2002	Active
S9558	Home injectable therapy; growth hormone, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	—	Jan 1, 2002	Active
S9559	Home injectable therapy, interferon, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	—	Jan 1, 2002	Active
S9560	Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	—	Jan 1, 2002	Active
S9562	Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	—	Jan 1, 2003	Active
S9563	Home injectable therapy, immunotherapy, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	—	Apr 1, 2023	Active
S9590	Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	—	Jan 1, 2003	Active
S9810	Home therapy; professional pharmacy services for provision of infusion, specialty drug administration, and/or disease state management, not otherwise classified, per hour (do not use this code with any per diem code)NOC / NOS	—	Jan 1, 2002	Active
S9900	Services by a journal-listed christian science practitioner for the purpose of healing, per diem	—	Jul 1, 2002	Active
S9901	Services by a journal-listed christian science nurse, per hour	—	Jan 1, 2015	Active
S9960	Ambulance service, conventional air service, nonemergency transport, one way (fixed wing)	—	Jan 1, 2014	Active
S9961	Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)	—	Jan 1, 2014	Active
S9970	Health club membership, annual	—	Apr 1, 2002	Active
S9975	Transplant related lodging, meals and transportation, per diem	—	Apr 1, 2002	Active
S9976	Lodging, per diem, not otherwise classifiedNOC / NOS	—	Apr 1, 2004	Active
S9977	Meals, per diem, not otherwise specifiedNOC / NOS	—	Apr 1, 2004	Active
S9981	Medical records copying fee, administrative	—	Jan 1, 2002	Active
S9982	Medical records copying fee, per page	—	Jan 1, 2002	Active
S9986	Not medically necessary service (patient is aware that service not medically necessary)NOC / NOS	—	Jan 1, 2002	Active
S9988	Services provided as part of a phase i clinical trial	—	Apr 1, 2004	Active
S9989	Services provided outside of the united states of america (list in addition to code(s) for service(s))	—	Jan 1, 2002	Active
S9990	Services provided as part of a phase ii clinical trial	—	Jan 1, 2000	Active
S9991	Services provided as part of a phase iii clinical trial	—	Jan 1, 2000	Active
S9992	Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion	—	Jan 1, 2000	Active
S9994	Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion	—	Jan 1, 2000	Active
S9996	Meals for clinical trial participant and one caregiver/companion	—	Jan 1, 2000	Active
S9999	Sales tax	—	Jan 1, 2000	Active