S0273 HCPCS Level II code: Physician visit at member's home, outside of a capitation arrangement
S0273 is the HCPCS code for “Physician visit at member's home, outside of a capitation arrangement” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S0273Physician visit at member's home, outside of a capitation arrangement
Short description: Md home visit outside cap
HCPCS · United States
Medicare details
The indicators CMS publishes with S0273 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, 2007
Where S0273 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S0273Physician visit at member's home, outside of a capitation arrangement
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 S0273 mean?
S0273 is the HCPCS code for “Physician visit at member's home, outside of a capitation arrangement” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S0273?
CMS lists S0273’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 S0273
All S codesS0257Counseling 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…S0260History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)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)S0274Nurse practitioner visit at member's home, outside of a capitation arrangementS0280Medical home program, comprehensive care coordination and planning, initial planS0281Medical home program, comprehensive care coordination and planning, maintenance of planS0285Colonoscopy consultation performed prior to a screening colonoscopy procedureS0302Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)S0310Hospitalist services (list separately in addition to code for appropriate evaluation and management service)