S0177 – Levamisole hydrochloride, oral, 50 mg
HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)
HCPCS codeS0177
- Long description
- Levamisole hydrochloride, oral, 50 mg
- Short description
- Levamisole 50 mg
- 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
- January 1, 2002 – No change
Frequently asked questions
What is HCPCS code S0177?
S0177 is a HCPCS Level II code for levamisole hydrochloride, oral, 50 mg.
Does Medicare cover S0177?
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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- 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
- S0178 – Lomustine, oral, 10 mg
- S0179 – Megestrol acetate, oral, 20 mg
- S0182 – Procarbazine hydrochloride, oral, 50 mg
- S0183 – Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)
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Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.