S0281 HCPCS Level II code: Medical home program, comprehensive care coordination and planning, maintenance of plan
S0281 is the HCPCS code for “Medical home program, comprehensive care coordination and planning, maintenance of plan” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S0281Medical home program, comprehensive care coordination and planning, maintenance of plan
Short description: Medical home, maintenance
HCPCS · United States
Medicare details
The indicators CMS publishes with S0281 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, 2010
Where S0281 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S0281Medical home program, comprehensive care coordination and planning, maintenance of plan
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 S0281 mean?
S0281 is the HCPCS code for “Medical home program, comprehensive care coordination and planning, maintenance of plan” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S0281?
CMS lists S0281’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 S0281
All S codesS0270Physician 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 arrangementS0280Medical home program, comprehensive care coordination and planning, initial 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)S0311Comprehensive management and care coordination for advanced illness, per calendar monthS0315Disease management program; initial assessment and initiation of the programS0316Disease management program, follow-up/reassessment