S0164 HCPCS Level II code: Injection, pantoprazole sodium, 40 mg
CMS terminated S0164: its last date of service was Jun 30, 2024. It stays here for looking up older claims; newer services need a current code.
Official description
S0164Injection, pantoprazole sodium, 40 mg
Short description: Injection pantroprazole
HCPCS · United States
Medicare details
The indicators CMS publishes with S0164 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, 2004
- Terminated after
- Jun 30, 2024
Where S0164 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Terminated S0164Injection, pantoprazole sodium, 40 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
Is HCPCS code S0164 still valid?
No. CMS terminated S0164; its last date of service was Jun 30, 2024. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover S0164?
CMS lists S0164’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 S0164
All S codesS0145Injection, pegylated interferon alfa-2a, 180 mcg per mlS0148Injection, pegylated interferon alfa-2b, 10 mcgS0155Sterile dilutant for epoprostenol, 50 mlS0156Exemestane, 25 mgS0157Becaplermin gel 0.01%, 0.5 gmS0160Dextroamphetamine sulfate, 5 mgS0166Injection, olanzapine, 2.5 mgS0169Calcitrol, oral, 0.25 microgramS0170Anastrozole, oral, 1 mgS0171Injection, bumetanide, 0.5 mgS0172Chlorambucil, oral, 2 mgS0174Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)