S0138 Finasteride, 5 milligrams
Also known as: Proscar, finasteride, 5-alpha reductase inhibitor
Finasteride oral medication at 5 milligrams for benign prostatic hyperplasia.
In Plain Language
prostate enlargement treatment; urinary symptom relief; prostate shrinker
Clinical Context
Used for benign prostatic hyperplasia to improve urinary symptoms and reduce prostate size. Inhibits conversion of testosterone to DHT.
RVU Information
CPT S0138 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.
Specialties
Frequently Asked Questions
What is CPT code S0138?
CPT S0138 (Finasteride, 5 milligrams) is a S Codes code. Finasteride oral medication at 5 milligrams for benign prostatic hyperplasia.
Is S0138 covered by insurance?
S0138 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used for benign prostatic hyperplasia to improve urinary symptoms and reduce prostate size. Inhibits conversion of testosterone to DHT.
When is CPT S0138 used?
Used for benign prostatic hyperplasia to improve urinary symptoms and reduce prostate size. Inhibits conversion of testosterone to DHT.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.