S4024 – Air polymer-type a intrauterine foam, per study dose

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

Active code Not payable by Medicare

HCPCS codeS4024
Long description
Air polymer-type a intrauterine foam, per study dose
Short description
Air polymer foam per study
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, 2025
Last change
April 1, 2025 – No change

Frequently asked questions

What is HCPCS code S4024?

S4024 is a HCPCS Level II code for air polymer-type a intrauterine foam, per study dose.

Does Medicare cover S4024?

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.