S0174 HCPCS code: Dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180)
S0174 is the HCPCS Level II code for dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180). Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies.
Code details
| Field | Value |
|---|---|
| Section | S codes — Temporary national codes (non-Medicare) |
| Coverage code | I — Not payable by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2002-01-01 |
| Last action effective | 2002-01-01 |
What changed for S0174
- 2002-01-01: S0174 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code S0174?
S0174 is the HCPCS Level II code for dolasetron mesylate, oral 50 mg (for circumstances falling under the medicare statute, use q0180). Short descriptor: "Dolasetron 50 mg".
Does Medicare cover S0174?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related S01 codes
- S0104 — Zidovudine, oral, 100 mg
- S0106 — Bupropion hcl sustained release tablet, 150 mg, per bottle of 60 tablets
- S0108 — Mercaptopurine, oral, 50 mg
- S0109 — Methadone, oral, 5 mg
- S0117 — Tretinoin, topical, 5 grams
- S0119 — Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)
- S0122 — Injection, menotropins, 75 iu
- S0126 — Injection, follitropin alfa, 75 iu
- S0128 — Injection, follitropin beta, 75 iu
- S0132 — Injection, ganirelix acetate, 250 mcg
- S0136 — Clozapine, 25 mg
- S0137 — Didanosine (ddi), 25 mg
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Next steps
- Run a reimbursement report for a device billed under S0174
- Watch S0174 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for S0174
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.