S5190 HCPCS Level II code: Wellness assessment, performed by non-physician
S5190 is the HCPCS code for “Wellness assessment, performed by non-physician” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S5190Wellness assessment, performed by non-physician
Short description: Wellness assessment by nonph
HCPCS · United States
Medicare details
The indicators CMS publishes with S5190 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, 2003
Where S5190 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S5190Wellness assessment, performed by non-physician
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 S5190 mean?
S5190 is the HCPCS code for “Wellness assessment, performed by non-physician” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S5190?
CMS lists S5190’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 S5190
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