S4993 Contraceptive pills for bc
Also known as: birth control pills, oral contraceptive pills
Contraceptive oral tablets containing hormonal agents for pregnancy prevention administered in monthly or extended-cycle regimens.
In Plain Language
daily birth control pill; hormone contraceptive pills
Clinical Context
Used in obstetrics, gynecology, and primary care for contraception and menstrual cycle management.
RVU Information
CPT S4993 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 S4993?
CPT S4993 (Contraceptive pills for bc) is a S Codes code. Contraceptive oral tablets containing hormonal agents for pregnancy prevention administered in monthly or extended-cycle regimens.
Is S4993 covered by insurance?
S4993 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used in obstetrics, gynecology, and primary care for contraception and menstrual cycle management.
When is CPT S4993 used?
Used in obstetrics, gynecology, and primary care for contraception and menstrual cycle management.
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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.