Update to S Codes

As of 10/1/07, all S codes with the exception of nine were placed on the Government No Pay List. Therefore, claims billed with S codes with dates of service 10/1/07 and later, with the exception of the following nine codes have been denied:

• S1030
• S1031
• S1040
• S2066
• S2067
• S9122
• S9123
• S9124
• S9430

Authorization requests for S code services will be denied. Providers who have authorizations for S code services that extend beyond 10/1/07 should contact TriWest to request a new authorization with alternate codes.

In most cases, you should bill TRICARE as you would bill Medicare for services that you previously billed with S codes, e.g., A codes and E codes for infusion supplies and appropriate nursing codes.