S0315 – Disease management program; initial assessment and initiation of the program
HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)
HCPCS codeS0315
- Long description
- Disease management program; initial assessment and initiation of the program
- Short description
- Disease management program
- 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, 2002
- Last change
- October 1, 2002 – No change
Frequently asked questions
What is HCPCS code S0315?
S0315 is a HCPCS Level II code for disease management program; initial assessment and initiation of the program.
Does Medicare cover S0315?
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
- S0273 – Physician visit at member's home, outside of a capitation arrangement
- S0274 – Nurse practitioner 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
- S0316 – Disease management program, follow-up/reassessment
- S0317 – Disease management program; per diem
- S0320 – Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month
- S0340 – Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage
- S0341 – Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage
- S0342 – Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage
- S0353 – Treatment planning and care coordination management for cancer, initial treatment
- S0354 – Treatment planning and care coordination management for cancer, established patient with a change of regimen
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.