S0199 Medial abortion incision all ex drug
Also known as: medication abortion, RU-486, medical termination
Medical abortion including all examination and necessary drugs. Non-surgical termination of pregnancy using medications such as mifepristone and misoprostol.
In Plain Language
abortion pills; medication abortion
Clinical Context
Performed in first trimester up to specific gestational limits, typically with ultrasound confirmation and follow-up to verify completion. Requires informed consent and state-specific counseling.
RVU Information
CPT S0199 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 S0199?
CPT S0199 (Medial abortion incision all ex drug) is a S Codes code. Medical abortion including all examination and necessary drugs. Non-surgical termination of pregnancy using medications such as mifepristone and misoprostol.
Is S0199 covered by insurance?
S0199 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Performed in first trimester up to specific gestational limits, typically with ultrasound confirmation and follow-up to verify completion. Requires informed consent and state-specific counseling.
When is CPT S0199 used?
Performed in first trimester up to specific gestational limits, typically with ultrasound confirmation and follow-up to verify completion. Requires informed consent and state-specific counseling.
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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.