List of HCPCS codes for: Private Payer Codes (S-codes) - Group S4



HCPCS Code: S4005
Short Description: Interim labor facility globa
Long Description: Interim labor facility global (labor occurring but not resulting in delivery)

HCPCS Code: S4011
Short Description: Ivf package
Long Description: 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

HCPCS Code: S4013
Short Description: Compl gift case rate
Long Description: Complete cycle, gamete intrafallopian transfer (gift), case rate

HCPCS Code: S4014
Short Description: Compl zift case rate
Long Description: Complete cycle, zygote intrafallopian transfer (zift), case rate

HCPCS Code: S4015
Short Description: Complete ivf nos case rate
Long Description: Complete in vitro fertilization cycle, not otherwise specified, case rate

HCPCS Code: S4016
Short Description: Frozen ivf case rate
Long Description: Frozen in vitro fertilization cycle, case rate

HCPCS Code: S4017
Short Description: Ivf canc a stim case rate
Long Description: Incomplete cycle, treatment cancelled prior to stimulation, case rate

HCPCS Code: S4018
Short Description: F emb trns canc case rate
Long Description: Frozen embryo transfer procedure cancelled before transfer, case rate

HCPCS Code: S4020
Short Description: Ivf canc a aspir case rate
Long Description: In vitro fertilization procedure cancelled before aspiration, case rate

HCPCS Code: S4021
Short Description: Ivf canc p aspir case rate
Long Description: In vitro fertilization procedure cancelled after aspiration, case rate

HCPCS Code: S4022
Short Description: Asst oocyte fert case rate
Long Description: Assisted oocyte fertilization, case rate

HCPCS Code: S4023
Short Description: Incompl donor egg case rate
Long Description: Donor egg cycle, incomplete, case rate

HCPCS Code: S4025
Short Description: Donor serv ivf case rate
Long Description: Donor services for in vitro fertilization (sperm or embryo), case rate

HCPCS Code: S4026
Short Description: Procure donor sperm
Long Description: Procurement of donor sperm from sperm bank

HCPCS Code: S4027
Short Description: Store prev froz embryos
Long Description: Storage of previously frozen embryos

HCPCS Code: S4028
Short Description: Microsurg epi sperm asp
Long Description: Microsurgical epididymal sperm aspiration (mesa)

HCPCS Code: S4030
Short Description: Sperm procure init visit
Long Description: Sperm procurement and cryopreservation services; initial visit

HCPCS Code: S4031
Short Description: Sperm procure subs visit
Long Description: Sperm procurement and cryopreservation services; subsequent visit

HCPCS Code: S4035
Short Description: Stimulated iui case rate
Long Description: Stimulated intrauterine insemination (iui), case rate

HCPCS Code: S4037
Short Description: Cryo embryo transf case rate
Long Description: Cryopreserved embryo transfer, case rate

HCPCS Code: S4040
Short Description: Monit store cryo embryo 30 d
Long Description: Monitoring and storage of cryopreserved embryos, per 30 days

HCPCS Code: S4042
Short Description: Ovulation mgmt per cycle
Long Description: Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle

HCPCS Code: S4981
Short Description: Insert levonorgestrel ius
Long Description: Insertion of levonorgestrel-releasing intrauterine system

HCPCS Code: S4989
Short Description: Contracept iud
Long Description: Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies

HCPCS Code: S4990
Short Description: Nicotine patch legend
Long Description: Nicotine patches, legend

HCPCS Code: S4991
Short Description: Nicotine patch nonlegend
Long Description: Nicotine patches, non-legend

HCPCS Code: S4993
Short Description: Contraceptive pills for bc
Long Description: Contraceptive pills for birth control

HCPCS Code: S4995
Short Description: Smoking cessation gum
Long Description: Smoking cessation gum