S1040 HCPCS code: Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)
S1040 is the HCPCS Level II code for cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s). 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 | 2002-10-01 |
| Last action effective | 2007-01-01 |
What changed for S1040
- 2002-10-01: S1040 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 S1040?
S1040 is the HCPCS Level II code for cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s). Short descriptor: "Cranial remolding orthosis".
Does Medicare cover S1040?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related S10 codes
- S1001 — Deluxe item, patient aware (list in addition to code for basic item)
- S1002 — Customized item (list in addition to code for basic item)
- S1015 — Iv tubing extension set
- S1016 — Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel
- S1030 — Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt code)
- S1031 — Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code)
- S1034 — Artificial pancreas device system (e.g., low glucose suspend (lgs) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices
- S1035 — Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system
- S1036 — Transmitter; external, for use with artificial pancreas device system
- S1037 — Receiver (monitor); external, for use with artificial pancreas device system
- S1090 — Mometasone furoate sinus implant, 370 micrograms
- S1091 — Stent, non-coronary, temporary, with delivery system (propel)
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Next steps
- Run a reimbursement report for a device billed under S1040
- Watch S1040 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for S1040
Sources: CMS HCPCS Level II release October 2026; 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.