S4981 – Insertion of levonorgestrel-releasing intrauterine system
HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)
HCPCS codeS4981
- Long description
- Insertion of levonorgestrel-releasing intrauterine system
- Short description
- Insert levonorgestrel ius
- 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
- July 1, 2001
- Last change
- July 1, 2001 – No change
Frequently asked questions
What is HCPCS code S4981?
S4981 is a HCPCS Level II code for insertion of levonorgestrel-releasing intrauterine system.
Does Medicare cover S4981?
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
- 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
- S4042 – Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle
- S4988 – Penile contracture device, manual, greater than 3 lbs traction force
- S4989 – Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies
- S4990 – Nicotine patches, legend
- S4991 – Nicotine patches, non-legend
- S4993 – Contraceptive pills for birth control
- S4995 – Smoking cessation gum
- S5000 – Prescription drug, generic
- S5001 – Prescription drug, brand name
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.