S0195 — Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine
S0195 is a HCPCS Level II code for pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine. It belongs to the Temporary National Codes (Non-Medicare) section. It was terminated on December 31, 2015 and is not valid on new claims.
This code has been terminated
CMS terminated S0195 on December 31, 2015. 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 S0195
- Long descriptor
- Pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine
- Short descriptor
- Pneumo vaccine 5-9 yrs
- Added
- January 1, 2003
- Terminated
- December 31, 2015
- 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 S0195
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If S0195 is not quite right, the correct code is very often within a few positions of it.
- 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
- S0189Testosterone pellet, 75 mgterminated
- S0190Mifepristone, oral, 200 mg
- S0191Misoprostol, oral, 200 mcg
- S0194Dialysis/stress vitamin supplement, oral, 100 capsules
- S0197Prenatal vitamins, 30-day supply
- S0199Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs
- S0201Partial hospitalization services, less than 24 hours, per diem
- S0207Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport
- S0208Paramedic intercept, hospital-based als service (non-voluntary), non-transport
- S0209Wheelchair van, mileage, per mile
- S0215Non-emergency transportation; mileage, per mile
- S0220Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes
Questions about S0195
What is HCPCS code S0195?
S0195 is a HCPCS Level II code for pneumococcal conjugate vaccine, polyvalent, intramuscular, for children from five years to nine years of age who have not previously received the vaccine. It sits in the Temporary National Codes (Non-Medicare) section.
Does Medicare cover S0195?
The CMS HCPCS file marks S0195 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 S0195 still valid?
No. S0195 was terminated on December 31, 2015 and should not be used on new claims.