S4011 HCPCS Level II code: In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and…
S4011 is the HCPCS code for “In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for…” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S4011In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development
Short description: Ivf package
HCPCS · United States
Notes for S4011
As CMS prints them, with any note S4011 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 S4011 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 S4011 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S4011In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development
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 S4011 mean?
S4011 is the HCPCS code for “In vitro fertilization; including but not limited to identification and incubation of mature oocytes, fertilization with sperm, incubation of embryo(s), and subsequent visualization for determination of development” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S4011?
CMS lists S4011’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 S4011
All S codesS3870Comparative genomic hybridization (cgh) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disabilityS3890Dna analysis, fecal, for colorectal cancer screeningS3900Surface electromyography (emg)S3902BallistocardiogramS3904Masters two stepS4005Interim labor facility global (labor occurring but not resulting in delivery)S4013Complete cycle, gamete intrafallopian transfer (gift), case rateS4014Complete cycle, zygote intrafallopian transfer (zift), case rateS4015Complete in vitro fertilization cycle, not otherwise specified, case rateS4016Frozen in vitro fertilization cycle, case rateS4017Incomplete cycle, treatment cancelled prior to stimulation, case rateS4018Frozen embryo transfer procedure cancelled before transfer, case rate