S0164 Injection, pantoprazole sodium, 40 mg

Short descriptor: Injection pantroprazole

⚠ Terminated HCPCS Level II 2026
Terminated Code
S0164 was terminated as of 2024-06-30 and should not be reported for dates of service after that date. This page is retained for historical reference.
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S0164 is the HCPCS Level II code for Injection, pantoprazole sodium, 40 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

Medicare Coverage
Not payable by Medicare (code I)
Part B Pricing
Not separately priced by Part B (indicator 00)
Type of Service
Other medical items or services
Effective Date
2024-07-01
Termination Date
2024-06-30
2026 Maintenance
No change this year

References

Cite This Page

Reference S0164 with the canonical source and edition:

S0164 — Injection, pantoprazole sodium, 40 mg. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/S0164

Canonical URL: https://icd10codingpro.com/hcpcs-codes/S0164

Related Codes in Section S

← S0160 Dextroamphetamine S0166 → Inj olanzapine 2.5mg
S0155 Epoprostenol dilutant S0156 Exemestane, 25 mg S0157 Becaplermin gel 1%, 0.5 gm S0160 Dextroamphetamine S0166 Inj olanzapine 2.5mg S0169 Calcitrol S0170 Anastrozole 1 mg S0171 Bumetanide 0.5 mg S0172 Chlorambucil 2 mg S0174 Dolasetron 50 mg
Browse all HCPCS Level II sections →
Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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