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S4017
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Procedure Codes
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HCPCS Level II
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Temporary National Codes (Non-Medicare)
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S4005–S4995
S4017
Incomplete cycle, treatment cancelled prior to stimulation, case rate
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S4005
Interim labor facility global (labor occurring but not resulting in delivery)
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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
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S4013
Complete cycle, gamete intrafallopian transfer (gift), case rate
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S4014
Complete cycle, zygote intrafallopian transfer (zift), case rate
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S4015
Complete in vitro fertilization cycle, not otherwise specified, case rate
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S4016
Frozen in vitro fertilization cycle, case rate
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S4017
Incomplete cycle, treatment cancelled prior to stimulation, case rate
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S4018
Frozen embryo transfer procedure cancelled before transfer, case rate
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S4020
In vitro fertilization procedure cancelled before aspiration, case rate
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S4021
In vitro fertilization procedure cancelled after aspiration, case rate
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S4022
Assisted oocyte fertilization, case rate
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S4023
Donor egg cycle, incomplete, case rate
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S4024
Air polymer-type a intrauterine foam, per study dose
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S4025
Donor services for in vitro fertilization (sperm or embryo), case rate
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S4026
Procurement of donor sperm from sperm bank
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S4027
Storage of previously frozen embryos
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S4028
Microsurgical epididymal sperm aspiration (mesa)
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S4030
Sperm procurement and cryopreservation services; initial visit
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S4031
Sperm procurement and cryopreservation services; subsequent visit
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S4035
Stimulated intrauterine insemination (iui), case rate
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S4037
Cryopreserved embryo transfer, case rate
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S4040
Monitoring and storage of cryopreserved embryos, per 30 days
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S4042
Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle
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S4981
Insertion of levonorgestrel-releasing intrauterine system
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S4989
Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies
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S4990
Nicotine patches, legend
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S4991
Nicotine patches, non-legend
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S4993
Contraceptive pills for birth control
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S4995
Smoking cessation gum
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Procedure code
CODABLE
S4017
Incomplete cycle, treatment cancelled prior to stimulation, case rate
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.
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