S4990 HCPCS Level II code: Nicotine patches, legend
S4990 is the HCPCS code for “Nicotine patches, legend” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S4990Nicotine patches, legend
Short description: Nicotine patch legend
HCPCS · United States
Notes for S4990
As CMS prints them, with any note S4990 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 S4990 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 S4990 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S4990Nicotine patches, legend
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 S4990 mean?
S4990 is the HCPCS code for “Nicotine patches, legend” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S4990?
CMS lists S4990’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 S4990
All S codesS4037Cryopreserved 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 cycleS4981Insertion of levonorgestrel-releasing intrauterine systemS4988Penile contracture device, manual, greater than 3 lbs traction forceS4989Contraceptive intrauterine device (e.g., progestacert iud), including implants and suppliesS4991Nicotine patches, non-legendS4993Contraceptive pills for birth controlS4995Smoking cessation gumS5000Prescription drug, genericS5001Prescription drug, brand nameS50105% dextrose and 0.45% normal saline, 1000 ml