S0104 HCPCS Level II code: Zidovudine, oral, 100 mg
S0104 is the HCPCS code for “Zidovudine, oral, 100 mg” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S0104Zidovudine, oral, 100 mg
HCPCS · United States
Medicare details
The indicators CMS publishes with S0104 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
- BETOS category
- Undefined codes
- Added
- Oct 1, 2002
Where S0104 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S0104Zidovudine, oral, 100 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.
Frequently asked questions
What does HCPCS code S0104 mean?
S0104 is the HCPCS code for “Zidovudine, oral, 100 mg” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S0104?
CMS lists S0104’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 S0104
All S codesS0081Injection, piperacillin sodium, 500 mgS0088Imatinib, 100 mgS0090Sildenafil citrate, 25 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)S0106Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tabletsS0108Mercaptopurine, oral, 50 mgS0109Methadone, oral, 5 mgS0117Tretinoin, topical, 5 gramsS0119Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)S0122Injection, menotropins, 75 iu