S4028 – Microsurgical epididymal sperm aspiration (mesa)

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

Active code Not payable by Medicare

HCPCS codeS4028
Long description
Microsurgical epididymal sperm aspiration (mesa)
Short description
Microsurg epi sperm asp
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 S4028?

S4028 is a HCPCS Level II code for microsurgical epididymal sperm aspiration (mesa).

Does Medicare cover S4028?

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.