HCPCS Code S0104

Zidovudine, oral, 100 mg
Short DescriptionZidovudine, oral, 100 mg
Year2026
Coverage CodeI = Not payable by Medicare
Action CodeN = No maintenance for this code
Action Effective DateOctober 01, 2002
Code Added DateOctober 01, 2002
Pricing Indicator00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)
Type of Service1 = Medical care