S0136 HCPCS Level II code: Clozapine, 25 mg
S0136 is the HCPCS code for “Clozapine, 25 mg” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S0136Clozapine, 25 mg
HCPCS · United States
Medicare details
The indicators CMS publishes with S0136 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
- Other medical items or services
- BETOS category
- Undefined codes
- Added
- Apr 1, 2003
Where S0136 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S0136Clozapine, 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.
Frequently asked questions
What does HCPCS code S0136 mean?
S0136 is the HCPCS code for “Clozapine, 25 mg” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S0136?
CMS lists S0136’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 S0136
All S codesS0117Tretinoin, topical, 5 gramsS0119Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)S0122Injection, menotropins, 75 iuS0126Injection, follitropin alfa, 75 iuS0128Injection, follitropin beta, 75 iuS0132Injection, ganirelix acetate, 250 mcgS0137Didanosine (ddi), 25 mgS0138Finasteride, 5 mgS0139Minoxidil, 10 mgS0140Saquinavir, 200 mgS0142Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mgS0144Injection, propofol, 10 mg