S4016 – Frozen in vitro fertilization cycle, case rate

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

Active code Not payable by Medicare

HCPCS codeS4016
Long description
Frozen in vitro fertilization cycle, case rate
Short description
Frozen ivf case rate
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, 2002
Last change
January 1, 2002 – No change

Frequently asked questions

What is HCPCS code S4016?

S4016 is a HCPCS Level II code for frozen in vitro fertilization cycle, case rate.

Does Medicare cover S4016?

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.