S0164 — Injection, pantoprazole sodium, 40 mg
S0164 is a HCPCS Level II code for injection, pantoprazole sodium, 40 mg. It belongs to the Temporary National Codes (Non-Medicare) section. It was terminated on June 30, 2024 and is not valid on new claims.
This code has been terminated
CMS terminated S0164 on June 30, 2024. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
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.
The CMS record for S0164
- Long descriptor
- Injection, pantoprazole sodium, 40 mg
- Short descriptor
- Injection pantroprazole
- Added
- April 1, 2004
- Terminated
- June 30, 2024
- 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.
When CMS retired it.
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 S0164
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If S0164 is not quite right, the correct code is very often within a few positions of it.
- S0142Colistimethate sodium, inhalation solution administered through dme, concentrated form, per mg
- S0144Injection, propofol, 10 mgterminated
- S0145Injection, pegylated interferon alfa-2a, 180 mcg per ml
- S0148Injection, pegylated interferon alfa-2b, 10 mcg
- S0155Sterile dilutant for epoprostenol, 50 ml
- S0156Exemestane, 25 mg
- S0157Becaplermin gel 0.01%, 0.5 gm
- S0160Dextroamphetamine sulfate, 5 mg
- S0166Injection, olanzapine, 2.5 mgterminated
- S0169Calcitrol, 0.25 microgram
- S0170Anastrozole, oral, 1 mg
- S0171Injection, bumetanide, 0.5 mgterminated
- S0172Chlorambucil, oral, 2 mg
- S0174Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)
- S0175Flutamide, oral, 125 mg
- S0176Hydroxyurea, oral, 500 mg
Questions about S0164
What is HCPCS code S0164?
S0164 is a HCPCS Level II code for injection, pantoprazole sodium, 40 mg. It sits in the Temporary National Codes (Non-Medicare) section.
Does Medicare cover S0164?
The CMS HCPCS file marks S0164 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.
Is S0164 still valid?
No. S0164 was terminated on June 30, 2024 and should not be used on new claims.