S4013 Complicated gift case rate
Also known as: GIFT procedure, gamete transfer fertility
Global case rate for completed Gamete Intrafallopian Transfer procedure including stimulation, retrieval, and fallopian tube gamete placement.
In Plain Language
fertility treatment with egg and sperm transfer; advanced fertility procedure
Clinical Context
Used in reproductive endocrinology for patients undergoing GIFT as alternative to in vitro fertilization.
RVU Information
CPT S4013 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 S4013?
CPT S4013 (Complicated gift case rate) is a S Codes code. Global case rate for completed Gamete Intrafallopian Transfer procedure including stimulation, retrieval, and fallopian tube gamete placement.
Is S4013 covered by insurance?
S4013 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used in reproductive endocrinology for patients undergoing GIFT as alternative to in vitro fertilization.
When is CPT S4013 used?
Used in reproductive endocrinology for patients undergoing GIFT as alternative to in vitro fertilization.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.