S0091 – Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166)
HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)
HCPCS codeS0091
- Long description
- Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166)
- Short description
- Granisetron 1mg
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
INot payable by Medicare- BETOS category
Z2Undefined codes- Added
- January 1, 2002
- Last change
- July 1, 2001 – No change
Frequently asked questions
What is HCPCS code S0091?
S0091 is a HCPCS Level II code for granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166).
Does Medicare cover S0091?
The HCPCS file lists coverage code I: Not payable by Medicare. Coverage and payment also depend on local coverage determinations and the patient’s plan.
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Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.