Zidovudine, oral, 100 mg

S0104
HCPCS Code

S0104 is a valid 2023 HCPCS Code that could be used to indicate Zidovudine, oral, 100 mg for reimbursement purposes.

S0104 belongs to Medical Care Type of Service and has been in effect since Oct 01, 2002.

S0104 code information

HCPCS code:	S0104
Description:	ZIDOVUDINE, ORAL, 100 MG
Effective Date:	Oct 01, 2002
Added Date:	Oct 01, 2002
Termination Date:	HCPCS S0104 was terminated on Nov 30, -0001
Pricing indicator:	`00` - SERVICE NOT SEPARATELY PRICED BY PART B (E.G., SERVICES NOT COVERED, BUNDLED, USED BY PART A ONLY, ETC.) PHYSICIAN FEE SCHEDULE AND NON-PHYSICIAN PRACTITIONERS
Multi Pricing indicator:	`9` - NOT APPLICABLE AS HCPCS NOT PRICED SEPARATELY BY PART B (PRICING INDICATOR IS 00) OR VALUE IS NOT ESTABLISHED (PRICING INDICATOR IS ´99´)
Coverage code:	`I` - NOT VALID FOR MEDICARE (NO GRACE PERIOD)
BETOS code:	`Z2` - UNDEFINED CODES
Action code:	`N` - NO MAINTENANCE FOR THIS CODE
Type of Service:	`1` - MEDICAL CARE
Anesthesia BUQ:	0