S0199 — Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs
S0199 is a HCPCS Level II code for medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs. It belongs to the Temporary National Codes (Non-Medicare) section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusI
Not valid for Medicare purposes. Medicare uses another code.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for S0199
- Long descriptor
- Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs
- Short descriptor
- Med abortion inc all ex drug
- Added
- January 1, 2001
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to S0199
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If S0199 is not quite right, the correct code is very often within a few positions of it.
- S0183Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)
- S0187Tamoxifen citrate, oral, 10 mg
- S0189Testosterone pellet, 75 mgterminated
- S0190Mifepristone, oral, 200 mg
- S0191Misoprostol, oral, 200 mcg
- S0194Dialysis/stress vitamin supplement, oral, 100 capsules
- S0195Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccineterminated
- S0197Prenatal vitamins, 30-day supply
- S0201Partial hospitalization services, less than 24 hours, per diem
- S0207Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport
- S0208Paramedic intercept, hospital-based als service (non-voluntary), non-transport
- S0209Wheelchair van, mileage, per mile
- S0215Non-emergency transportation; mileage, per mile
- S0220Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes
- S0221Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes
- S0250Comprehensive geriatric assessment and treatment planning performed by assessment team
Questions about S0199
What is HCPCS code S0199?
S0199 is a HCPCS Level II code for medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs. It sits in the Temporary National Codes (Non-Medicare) section.
Does Medicare cover S0199?
The CMS HCPCS file marks S0199 as "Not payable by Medicare". Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
How is S0199 paid under the physician fee schedule?
S0199 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.