S5011 – 5% dextrose in lactated ringer's, 1000 ml
HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)
HCPCS codeS5011
- Long description
- 5% dextrose in lactated ringer's, 1000 ml
- Short description
- 5% dextrose in lactated ring
- 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, 2001
- Last change
- January 1, 2016 – No change
- Termination date
- December 31, 2015
Frequently asked questions
What is HCPCS code S5011?
S5011 is a HCPCS Level II code for 5% dextrose in lactated ringer's, 1000 ml. It was discontinued on December 31, 2015.
Does Medicare cover S5011?
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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- 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
- S5010 – 5% dextrose and 0.45% normal saline, 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)
- S5036 – Home infusion therapy, repair of infusion device (e.g., pump repair)
- S5100 – Day care services, adult; per 15 minutes
- S5101 – Day care services, adult; per half day
- S5102 – Day care services, adult; per diem
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.