S1016 – Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel

HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)

Active code Not payable by Medicare

HCPCS codeS1016
Long description
Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel
Short description
Non-pvc intravenous administ
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, 2001
Last change
January 1, 2001 – No change

Frequently asked questions

What is HCPCS code S1016?

S1016 is a HCPCS Level II code for non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel.

Does Medicare cover S1016?

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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.