S0342 HCPCS code: Lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage
S0342 is the HCPCS Level II code for lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage. 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 S0342
- 2002-01-01: S0342 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 S0342?
S0342 is the HCPCS Level II code for lifestyle modification program for management of coronary artery disease, including all supportive services; fourth quarter / stage. Short descriptor: "Lifestyle mod 4th stage".
Does Medicare cover S0342?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related S03 codes
- S0302 — Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)
- S0310 — Hospitalist services (list separately in addition to code for appropriate evaluation and management service)
- S0311 — Comprehensive management and care coordination for advanced illness, per calendar month
- S0315 — Disease management program; initial assessment and initiation of the program
- S0316 — Disease management program, follow-up/reassessment
- S0317 — Disease management program; per diem
- S0320 — Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month
- S0340 — Lifestyle modification program for management of coronary artery disease, including all supportive services; first quarter / stage
- S0341 — Lifestyle modification program for management of coronary artery disease, including all supportive services; second or third quarter / stage
- S0353 — Treatment planning and care coordination management for cancer, initial treatment
- S0354 — Treatment planning and care coordination management for cancer, established patient with a change of regimen
- S0390 — Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit
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Next steps
- Run a reimbursement report for a device billed under S0342
- Watch S0342 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for S0342
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.