S0260 HCPCS Level II code: History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management…
S0260 is the HCPCS code for “History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S0260History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)
Short description: H&p for surgery
HCPCS · United States
Notes for S0260
As CMS prints them, with any note S0260 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 S0260 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
- Jan 1, 2002
Where S0260 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S0260History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)
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 S0260 mean?
S0260 is the HCPCS code for “History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S0260?
CMS lists S0260’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 S0260
All S codesS0215Non-emergency transportation; mileage, per mileS0220Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient…S0221Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient…S0250Comprehensive geriatric assessment and treatment planning performed by assessment teamS0255Hospice referral visit (advising patient and family of care options) performed by nurse, social worker, or other designated staffS0257Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for…S0265Genetic counseling, under physician supervision, each 15 minutesS0270Physician management of patient home care, standard monthly case rate (per 30 days)S0271Physician management of patient home care, hospice monthly case rate (per 30 days)S0272Physician management of patient home care, episodic care monthly case rate (per 30 days)S0273Physician visit at member's home, outside of a capitation arrangementS0274Nurse practitioner visit at member's home, outside of a capitation arrangement