S0169 – Calcitrol, oral, 0.25 microgram
HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)
HCPCS codeS0169
- Long description
- Calcitrol, oral, 0.25 microgram
- Short description
- Calcitrol
- 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
- October 1, 2010
- Last change
- October 1, 2026 – Long description changed
Frequently asked questions
What is HCPCS code S0169?
S0169 is a HCPCS Level II code for calcitrol, oral, 0.25 microgram.
Does Medicare cover S0169?
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
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- S0156 – Exemestane, 25 mg
- S0157 – Becaplermin gel 0.01%, 0.5 gm
- S0160 – Dextroamphetamine sulfate, 5 mg
- S0164 – Injection, pantoprazole sodium, 40 mg
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- S0170 – Anastrozole, oral, 1 mg
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- S0172 – Chlorambucil, oral, 2 mg
- S0174 – Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)
- S0175 – Flutamide, oral, 125 mg
- S0176 – Hydroxyurea, oral, 500 mg
- S0177 – Levamisole hydrochloride, oral, 50 mg
- S0178 – Lomustine, oral, 10 mg
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.