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S0090 HCPCS Level II code: Sildenafil citrate, 25 mg

S0090 is the HCPCS code for “Sildenafil citrate, 25 mg” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

S0090

Sildenafil citrate, 25 mg

HCPCS · United States

Notes for S0090

As CMS prints them, with any note S0090 takes from the headings above it.

Note

  • CMS processing note 0088: "S" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.

Medicare details

The indicators CMS publishes with S0090 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Not payable by Medicare
Medicare pricing
Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
Type of service
Medical care; Lump sum purchase of DME, prosthetics, orthotics
BETOS category
Undefined codes
Added
Jan 1, 2000

Where S0090 sits

  1. 1S codesTemporary national codes (non-Medicare)
  2. 2Active code S0090Sildenafil citrate, 25 mg

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

See S0090 in the CMS source

Frequently asked questions

What does HCPCS code S0090 mean?

S0090 is the HCPCS code for “Sildenafil citrate, 25 mg” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover S0090?

CMS lists S0090’s Medicare coverage as “Not payable by Medicare” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.

Codes beside S0090

S0074Injection, cefotetan disodium, 500 mgS0077Injection, clindamycin phosphate, 300 mgS0078Injection, fosphenytoin sodium, 750 mgS0080Injection, pentamidine isethionate, 300 mgS0081Injection, piperacillin sodium, 500 mgS0088Imatinib, 100 mgS0091Granisetron hydrochloride, 1 mg (for circumstances falling under the medicare statute, use q0166)S0092Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump)S0093Injection, morphine sulfate, 500 mg (loading dose for infusion pump)S0104Zidovudine, oral, 100 mgS0106Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tabletsS0108Mercaptopurine, oral, 50 mg