S0122 — Injection, menotropins, 75 iu
S0122 is a HCPCS Level II code for injection, menotropins, 75 iu. It belongs to the Temporary National Codes (Non-Medicare) section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusI
Not valid for Medicare purposes. Medicare uses another code.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for S0122
- Long descriptor
- Injection, menotropins, 75 iu
- Short descriptor
- Inj menotropins 75 iu
- Added
- April 1, 2002
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to S0122
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If S0122 is not quite right, the correct code is very often within a few positions of it.
- S0092Injection, hydromorphone hydrochloride, 250 mg (loading dose for infusion pump)
- S0093Injection, morphine sulfate, 500 mg (loading dose for infusion pump)
- S0104Zidovudine, oral, 100 mg
- S0106Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets
- S0108Mercaptopurine, oral, 50 mg
- S0109Methadone, oral, 5 mg
- S0117Tretinoin, topical, 5 grams
- S0119Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)
- S0126Injection, follitropin alfa, 75 iu
- S0128Injection, follitropin beta, 75 iu
- S0132Injection, ganirelix acetate, 250 mcg
- S0136Clozapine, 25 mg
- S0137Didanosine (ddi), 25 mg
- S0138Finasteride, 5 mg
- S0139Minoxidil, 10 mg
- S0140Saquinavir, 200 mg
Questions about S0122
What is HCPCS code S0122?
S0122 is a HCPCS Level II code for injection, menotropins, 75 iu. It sits in the Temporary National Codes (Non-Medicare) section.
Does Medicare cover S0122?
The CMS HCPCS file marks S0122 as "Not payable by Medicare". Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
How is S0122 paid under the physician fee schedule?
S0122 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.