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HCPCS Procedure & Supply Codes

Private Payer Codes

section notes

S4000

section notes
S4005   Interim labor facility global (labor occurring but not resulting in delivery)
S4011   In vitro fertilization; including but not limited to identification and incubati...
S4013   Complete cycle, gamete intrafallopian transfer (gift), case rate
S4014   Complete cycle, zygote intrafallopian transfer (zift), case rate
S4015   Complete in vitro fertilization cycle, not otherwise specified, case rate
S4016   Frozen in vitro fertilization cycle, case rate
S4017   Incomplete cycle, treatment cancelled prior to stimulation, case rate
S4018   Frozen embryo transfer procedure cancelled before transfer, case rate
S4020   In vitro fertilization procedure cancelled before aspiration, case rate
S4021   In vitro fertilization procedure cancelled after aspiration, case rate
S4022   Assisted oocyte fertilization, case rate
S4023   Donor egg cycle, incomplete, case rate
S4025   Donor services for in vitro fertilization (sperm or embryo), case rate
S4026   Procurement of donor sperm from sperm bank
S4027   Storage of previously frozen embryos
S4028   Microsurgical epididymal sperm aspiration (mesa)
S4030   Sperm procurement and cryopreservation services; initial visit
S4031   Sperm procurement and cryopreservation services; subsequent visit
S4035   Stimulated intrauterine insemination (iui), case rate
S4037   Cryopreserved embryo transfer, case rate
S4040   Monitoring and storage of cryopreserved embryos, per 30 days
S4042   Management of ovulation induction (interpretation of diagnostic tests and studie...
S4981   Insertion of levonorgestrel-releasing intrauterine system
S4988   Penile contracture device, manual, greater than 3 lbs traction force
S4989   Contraceptive intrauterine device (e.g., progestacert iud), including implants a...
S4990   Nicotine patches, legend
S4991   Nicotine patches, non-legend
S4993   Contraceptive pills for birth control
S4995   Smoking cessation gum
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