S4028 HCPCS Level II code: Microsurgical epididymal sperm aspiration (mesa)
S4028 is the HCPCS code for “Microsurgical epididymal sperm aspiration (mesa)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S4028Microsurgical epididymal sperm aspiration (mesa)
Short description: Microsurg epi sperm asp
HCPCS · United States
Notes for S4028
As CMS prints them, with any note S4028 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 S4028 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 S4028 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S4028Microsurgical epididymal sperm aspiration (mesa)
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 S4028 mean?
S4028 is the HCPCS code for “Microsurgical epididymal sperm aspiration (mesa)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S4028?
CMS lists S4028’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 S4028
All S codesS4022Assisted oocyte fertilization, case rateS4023Donor egg cycle, incomplete, case rateS4024Air polymer-type a intrauterine foam, per study doseS4025Donor services for in vitro fertilization (sperm or embryo), case rateS4026Procurement of donor sperm from sperm bankS4027Storage of previously frozen embryosS4030Sperm procurement and cryopreservation services; initial visitS4031Sperm procurement and cryopreservation services; subsequent visitS4035Stimulated intrauterine insemination (iui), case rateS4037Cryopreserved embryo transfer, case rateS4040Monitoring and storage of cryopreserved embryos, per 30 daysS4042Management of ovulation induction (interpretation of diagnostic tests and studies, non-face-to-face medical management of the patient), per cycle