S1091 – Stent, non-coronary, temporary, with delivery system (propel)

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

Active code Not payable by Medicare

HCPCS codeS1091
Long description
Stent, non-coronary, temporary, with delivery system (propel)
Short description
Stent non-coronary propel
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
April 1, 2021
Last change
April 1, 2021 – No change

Frequently asked questions

What is HCPCS code S1091?

S1091 is a HCPCS Level II code for stent, non-coronary, temporary, with delivery system (propel).

Does Medicare cover S1091?

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.