What is HCPCS code S0013?

S0013 is the HCPCS Level II code for Esketamine, nasal spray, 1 mg. It falls in Section S (Temporary National Codes (Non-Medicare)) of the 2026 HCPCS Level II code set maintained by CMS.

Is S0013 covered by Medicare?

Medicare coverage status for S0013 is: Not payable by Medicare. Always confirm current coverage with the payer.

Under Medicare Part B, S0013 is priced as: Not separately priced by Part B.

S0013 Esketamine, nasal spray, 1 mg

Short descriptor: Esketamine, nasal spray

⚠ Terminated HCPCS Level II 2026

Terminated Code

S0013 was terminated as of 2025-12-31 and should not be reported for dates of service after that date. This page is retained for historical reference.

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S0013 is the HCPCS Level II code for Esketamine, nasal spray, 1 mg (2026). It belongs to Section S — Temporary National Codes (Non-Medicare). Under Medicare, its coverage status is: Not payable by Medicare. Part B pricing methodology: Not separately priced by Part B.

Classification & CMS Attributes

Section: S: Temporary National Codes (Non-Medicare)
Medicare Coverage: Not payable by Medicare (code I)
Part B Pricing: Not separately priced by Part B (indicator 00)
Type of Service: Medical care
Effective Date: 2026-01-01
Termination Date: 2025-12-31
2026 Maintenance: Discontinued

References

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Reference S0013 with the canonical source and edition:

S0013 — Esketamine, nasal spray, 1 mg. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/S0013

Canonical URL: https://icd10codingpro.com/hcpcs-codes/S0013

S0013 Esketamine, nasal spray, 1 mg

Classification & CMS Attributes

References

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