S5001 HCPCS Level II code: Prescription drug, brand name
S5001 is the HCPCS code for “Prescription drug, brand name” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S5001Prescription drug, brand name
Short description: Prescription drug,brand name
HCPCS · United States
Notes for S5001
As CMS prints them, with any note S5001 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 S5001 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, 2001
Where S5001 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S5001Prescription drug, brand name
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 S5001 mean?
S5001 is the HCPCS code for “Prescription drug, brand name” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S5001?
CMS lists S5001’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 S5001
All S codesS4989Contraceptive intrauterine device (e.g., progestacert iud), including implants and suppliesS4990Nicotine patches, legendS4991Nicotine patches, non-legendS4993Contraceptive pills for birth controlS4995Smoking cessation gumS5000Prescription drug, genericS50105% dextrose and 0.45% normal saline, 1000 mlS50115% dextrose in lactated ringer's, 1000 mlS50125% dextrose with potassium chloride, 1000 mlS50135% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 mlS50145% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 mlS5035Home infusion therapy, routine service of infusion device (e.g., pump maintenance)