S0315 HCPCS Level II code: Disease management program; initial assessment and initiation of the program
S0315 is the HCPCS code for “Disease management program; initial assessment and initiation of the program” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S0315Disease management program; initial assessment and initiation of the program
Short description: Disease management program
HCPCS · United States
Medicare details
The indicators CMS publishes with S0315 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
- Oct 1, 2002
Where S0315 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S0315Disease management program; initial assessment and initiation of the program
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 S0315 mean?
S0315 is the HCPCS code for “Disease management program; initial assessment and initiation of the program” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S0315?
CMS lists S0315’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 S0315
All S codesS0280Medical 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)S0311Comprehensive management and care coordination for advanced illness, per calendar monthS0316Disease management program, follow-up/reassessmentS0317Disease management program; per diemS0320Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per monthS0340Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stageS0341Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stageS0342Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage