S50 — HCPCS Level II Codes

• S5000 Prescription drug, generic billable
• S5001 Prescription drug, brand name billable
• S5010 5% dextrose and 0.45% normal saline, 1000 ml billable
• S5012 5% dextrose with potassium chloride, 1000 ml billable
• S5013 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml billable
• S5014 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml billable
• S5035 Home infusion therapy, routine service of infusion device (e.g., pump maintenance) billable
• S5036 Home infusion therapy, repair of infusion device (e.g., pump repair) billable