S0274 – Nurse practitioner visit at member's home, outside of a capitation arrangement
HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)
HCPCS codeS0274
- Long description
- Nurse practitioner visit at member's home, outside of a capitation arrangement
- Short description
- Nurse practr visit outs cap
- 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
- April 1, 2007
- Last change
- April 1, 2007 – No change
Frequently asked questions
What is HCPCS code S0274?
S0274 is a HCPCS Level II code for nurse practitioner visit at member's home, outside of a capitation arrangement.
Does Medicare cover S0274?
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
- S0255 – Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staff
- S0257 – Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service)
- S0260 – History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)
- S0265 – Genetic counseling, under physician supervision, each 15 minutes
- S0270 – Physician management of patient home care, standard monthly case rate (per 30 days)
- S0271 – Physician management of patient home care, hospice monthly case rate (per 30 days)
- S0272 – Physician management of patient home care, episodic care monthly case rate (per 30 days)
- S0273 – Physician visit at member's home, outside of a capitation arrangement
- S0280 – Medical home program, comprehensive care coordination and planning, initial plan
- S0281 – Medical home program, comprehensive care coordination and planning, maintenance of plan
- S0285 – Colonoscopy consultation performed prior to a screening colonoscopy procedure
- S0302 – Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)
- S0310 – Hospitalist services (list separately in addition to code for appropriate evaluation and management service)
- S0311 – Comprehensive management and care coordination for advanced illness, per calendar month
- S0315 – Disease management program; initial assessment and initiation of the program
- S0316 – Disease management program, follow-up/reassessment
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.