S4995 – Smoking cessation gum
HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)
HCPCS codeS4995
- Long description
- Smoking cessation gum
- Short description
- Smoking cessation gum
- 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
- April 1, 2002
- Last change
- April 1, 2002 – No change
Frequently asked questions
What is HCPCS code S4995?
S4995 is a HCPCS Level II code for smoking cessation gum.
Does Medicare cover S4995?
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
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- 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
- S5000 – Prescription drug, generic
- S5001 – Prescription drug, brand name
- S5010 – 5% dextrose and 0.45% normal saline, 1000 ml
- S5011 – 5% dextrose in lactated ringer's, 1000 ml
- S5012 – 5% dextrose with potassium chloride, 1000 ml
- S5013 – 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml
- S5014 – 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml
- S5035 – Home infusion therapy, routine service of infusion device (e.g., pump maintenance)
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.