S0195 – Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine

Long description

Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine

Short description

Pneumo vaccine 5-9 yrs

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

January 1, 2003

Last change

January 1, 2016 – No change

Termination date

December 31, 2015

Nearby S codes

• 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)
• S0187 – Tamoxifen citrate, oral, 10 mg
• S0189 – Testosterone pellet, 75 mg
• S0190 – Mifepristone, oral, 200 mg
• S0191 – Misoprostol, oral, 200 mcg
• S0194 – Dialysis/stress vitamin supplement, oral, 100 capsules
• S0197 – Prenatal vitamins, 30-day supply
• S0199 – Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs
• S0201 – Partial hospitalization services, less than 24 hours, per diem
• S0207 – Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport
• S0208 – Paramedic intercept, hospital-based als service (non-voluntary), non-transport
• S0209 – Wheelchair van, mileage, per mile
• S0215 – Non-emergency transportation; mileage, per mile
• S0220 – Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes