List of HCPCS codes for: Private Payer Codes (S-codes) - Group S2

HCPCS Code	Short Description	Long Description
S2053	Transplantation of small int	Transplantation of small intestine and liver allografts
S2054	Transplantation of multivisc	Transplantation of multivisceral organs
S2055	Harvesting of donor multivis	Harvesting of donor multivisceral organs, with preparation and maintenance of allografts; from cadaver donor
S2060	Lobar lung transplantation	Lobar lung transplantation
S2061	Donor lobectomy (lung)	Donor lobectomy (lung) for transplantation, living donor
S2065	Simult panc kidn trans	Simultaneous pancreas kidney transplantation
S2066	Breast gap flap reconst	Breast reconstruction with gluteal artery perforator (gap) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
S2067	Breast stacked diep/gap	Breast reconstruction of a single breast with stacked deep inferior epigastric perforator (diep) flap(s) and/or gluteal artery perforator (gap) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral
S2068	Breast diep or siea flap	Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial inferior epigastric artery (siea) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
S2070	Cysto laser tx ureteral calc	Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization)
S2079	Lap esophagomyotomy	Laparoscopic esophagomyotomy (heller type)
S2080	Laup	Laser-assisted uvulopalatoplasty (laup)
S2083	Adjustment gastric band	Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline
S2095	Transcath emboliz microspher	Transcatheter occlusion or embolization for tumor destruction, percutaneous, any method, using yttrium-90 microspheres
S2102	Islet cell tissue transplant	Islet cell tissue transplant from pancreas; allogeneic
S2103	Adrenal tissue transplant	Adrenal tissue transplant to brain
S2107	Adoptive immunotherapy	Adoptive immunotherapy i.e. development of specific anti-tumor reactivity (e.g., tumor-infiltrating lymphocyte therapy) per course of treatment
S2112	Knee arthroscp harv	Arthroscopy, knee, surgical for harvesting of cartilage (chondrocyte cells)
S2115	Periacetabular osteotomy	Osteotomy, periacetabular, with internal fixation
S2117	Arthroereisis, subtalar	Arthroereisis, subtalar
S2118	Total hip resurfacing	Metal-on-metal total hip resurfacing, including acetabular and femoral components
S2120	Low density lipoprotein(ldl)	Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation
S2140	Cord blood harvesting	Cord blood harvesting for transplantation, allogeneic
S2142	Cord blood-derived stem-cell	Cord blood-derived stem-cell transplantation, allogeneic
S2150	Bmt harv/transpl 28d pkg	Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; marrow ablative therapy; drugs, supplies, hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services; and the number of days of pre-and post-transplant care in the global definition
S2152	Solid organ transpl pkg	Solid organ(s), complete or segmental, single organ or combination of organs; deceased or living donor(s), procurement, transplantation, and related complications; including: drugs; supplies; hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services, and the number of days of pre- and post-transplant care in the global definition
S2202	Echosclerotherapy	Echosclerotherapy
S2205	Minimally invasive direct co	Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), single coronary arterial graft
S2206	Minimally invasive direct co	Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using arterial graft(s), two coronary arterial grafts
S2207	Minimally invasive direct co	Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using venous graft only, single coronary venous graft
S2208	Minimally invasive direct co	Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using single arterial and venous graft(s), single venous graft
S2209	Minimally invasive direct co	Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery, performed under direct vision; using two arterial grafts and single venous graft
S2225	Myringotomy laser-assist	Myringotomy, laser-assisted
S2230	Implant semi-imp hear	Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear
S2235	Implant auditory brain imp	Implantation of auditory brain stem implant
S2260	Induced abortion 17-24 weeks	Induced abortion, 17 to 24 weeks
S2265	Induced abortion 25-28 wks	Induced abortion, 25 to 28 weeks
S2266	Induced abortion 29-31 wks	Induced abortion, 29 to 31 weeks
S2267	Induced abortion 32 or more	Induced abortion, 32 weeks or greater
S2300	Arthroscopy, shoulder, surgi	Arthroscopy, shoulder, surgical; with thermally-induced capsulorrhaphy
S2325	Hip core decompression	Hip core decompression
S2340	Chemodenervation of abductor	Chemodenervation of abductor muscle(s) of vocal cord
S2341	Chemodenerv adduct vocal	Chemodenervation of adductor muscle(s) of vocal cord
S2342	Nasal endoscop po debrid	Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery, nasal and/or sinus cavity(s), unilateral or bilateral
S2348	Decompress disc rf lumbar	Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar
S2350	Diskectomy, anterior, with d	Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace
S2351	Diskectomy, anterior, with d	Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure)
S2360	Vertebroplast cerv 1st	Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; cervical
S2361	Vertebroplast cerv addl	Each additional cervical vertebral body (list separately in addition to code for primary procedure)
S2400	Fetal surg congen hernia	Repair, congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion, procedure performed in utero
S2401	Fetal surg urin trac obstr	Repair, urinary tract obstruction in the fetus, procedure performed in utero
S2402	Fetal surg cong cyst malf	Repair, congenital cystic adenomatoid malformation in the fetus, procedure performed in utero
S2403	Fetal surg pulmon sequest	Repair, extralobar pulmonary sequestration in the fetus, procedure performed in utero
S2404	Fetal surg myelomeningo	Repair, myelomeningocele in the fetus, procedure performed in utero
S2405	Fetal surg sacrococ teratoma	Repair of sacrococcygeal teratoma in the fetus, procedure performed in utero
S2409	Fetal surg noc	Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified
S2411	Fetoscop laser ther ttts	Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome
S2900	Robotic surgical system	Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)