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S4011 In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development
BackS4005Interim labor facility global (labor occurring but not resulting in delivery)→S4011In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development→S4013Complete cycle, gamete intrafallopian transfer (gift), case rate→S4014Complete cycle, zygote intrafallopian transfer (zift), case rate→S4015Complete in vitro fertilization cycle, not otherwise specified, case rate→S4016Frozen in vitro fertilization cycle, case rate→S4017Incomplete cycle, treatment cancelled prior to stimulation, case rate→S4018Frozen embryo transfer procedure cancelled before transfer, case rate→S4020In vitro fertilization procedure cancelled before aspiration, case rate→S4021In vitro fertilization procedure cancelled after aspiration, case rate→S4022Assisted oocyte fertilization, case rate→S4023Donor egg cycle, incomplete, case rate→S4024Air polymer-type a intrauterine foam, per study dose→S4025Donor services for in vitro fertilization (sperm or embryo), case rate→S4026Procurement of donor sperm from sperm bank→S4027Storage of previously frozen embryos→S4028Microsurgical epididymal sperm aspiration (mesa)→S4030Sperm procurement and cryopreservation services; initial visit→S4031Sperm procurement and cryopreservation services; subsequent visit→S4035Stimulated intrauterine insemination (iui), case rate→S4037Cryopreserved embryo transfer, case rate→S4040Monitoring and storage of cryopreserved embryos, per 30 days→S4042Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle→S4981Insertion of levonorgestrel-releasing intrauterine system→S4989Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies→S4990Nicotine patches, legend→S4991Nicotine patches, non-legend→S4993Contraceptive pills for birth control→S4995Smoking cessation gum→
Procedure codeCODABLE
S4011
In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development
CODING INFORMATION
"S" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.
- Part
- HCPCS Level II
- S
- Temporary National Codes (Non-Medicare)
- S4
- S4005–S4995
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.