S4025 – Donor services for in vitro fertilization (sperm or embryo), case rate
HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)
HCPCS codeS4025
- Long description
- Donor services for in vitro fertilization (sperm or embryo), case rate
- Short description
- Donor serv ivf case rate
- 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
- January 1, 2002
- Last change
- January 1, 2002 – No change
Frequently asked questions
What is HCPCS code S4025?
S4025 is a HCPCS Level II code for donor services for in vitro fertilization (sperm or embryo), case rate.
Does Medicare cover S4025?
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
- S4016 – Frozen in vitro fertilization cycle, case rate
- S4017 – Incomplete cycle, treatment cancelled prior to stimulation, case rate
- S4018 – Frozen embryo transfer procedure cancelled before transfer, case rate
- S4020 – In vitro fertilization procedure cancelled before aspiration, case rate
- S4021 – In vitro fertilization procedure cancelled after aspiration, case rate
- S4022 – Assisted oocyte fertilization, case rate
- S4023 – Donor egg cycle, incomplete, case rate
- S4024 – Air polymer-type a intrauterine foam, per study dose
- S4026 – Procurement of donor sperm from sperm bank
- S4027 – Storage of previously frozen embryos
- S4028 – Microsurgical epididymal sperm aspiration (mesa)
- S4030 – Sperm procurement and cryopreservation services; initial visit
- S4031 – Sperm procurement and cryopreservation services; subsequent visit
- S4035 – Stimulated intrauterine insemination (iui), case rate
- S4037 – Cryopreserved embryo transfer, case rate
- S4040 – Monitoring and storage of cryopreserved embryos, per 30 days
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.