2024 HCPCS Code S0117

Tretinoin, topical, 5 grams

Short Description	Tretinoin topical 5 g
HCPCS Coverage Code	I - Not payable by Medicare
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	July 01, 2004
HCPCS Code Added Date	July 01, 2004
HCPCS Pricing Indicator Code	00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
HCPCS Multiple Pricing Indicator Code	9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	9 - Other medical items or services
HCPCS Anesthesia Base Unit Quantity	0