S0160 – Dextroamphetamine sulfate, 5 mg

HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)

Active code Not payable by Medicare

HCPCS codeS0160
Long description
Dextroamphetamine sulfate, 5 mg
Short description
Dextroamphetamine
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
I Not payable by Medicare
BETOS category
Z2 Undefined codes
Added
April 1, 2004
Last change
April 1, 2004 – No change

Frequently asked questions

What is HCPCS code S0160?

S0160 is a HCPCS Level II code for dextroamphetamine sulfate, 5 mg.

Does Medicare cover S0160?

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.

Nearby S codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.