S0174: Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)
S0174 is a HCPCS Level II code for dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180). 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 2026Q4-Oct. 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 S0174
- Long descriptor
- Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)
- Short descriptor
- Dolasetron 50 mg
- Added
- January 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 S0174
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If S0174 is not quite right, the correct code is very often within a few positions of it.
- S0157Becaplermin gel 0.01%, 0.5 gm
- S0160Dextroamphetamine sulfate, 5 mg
- S0164Injection, pantoprazole sodium, 40 mgterminated
- S0166Injection, olanzapine, 2.5 mgterminated
- S0169Calcitrol, oral, 0.25 microgram
- S0170Anastrozole, oral, 1 mg
- S0171Injection, bumetanide, 0.5 mgterminated
- S0172Chlorambucil, oral, 2 mg
- S0175Flutamide, oral, 125 mg
- S0176Hydroxyurea, oral, 500 mg
- S0177Levamisole hydrochloride, oral, 50 mg
- S0178Lomustine, oral, 10 mg
- S0179Megestrol acetate, oral, 20 mg
- S0182Procarbazine hydrochloride, oral, 50 mg
- S0183Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the medicare statute, use q0164)
- S0187Tamoxifen citrate, oral, 10 mg