HCPCS Range Various Services, Fees, and Costs

• 1 Services by a Journal-listed Christian science practitioner for the purpose of healing, per diem ( S9900 )

• 2 Ambulance service, conventional air services, nonemergency transport, one way (fixed wing) ( S9960 )

• 3 Ambulance service, conventional air service, nonemergency transport, one way (rotary wing) ( S9961 )

• 4 Health club membership, annual ( S9970 )

• 5 Transplant related lodging, meals and transportation, per diem ( S9975 )

• 6 Lodging, per diem, not otherwise classified ( S9976 )

• 7 Meals, per diem, not otherwise specified ( S9977 )

• 8 Medical records copying fee, administrative ( S9981 )

• 9 Medical records copying fee, per page ( S9982 )

• 10 Not medically necessary service (patient is aware that service not medically necessary) ( S9986 )

• 11 Services provided as part of a Phase I clinical trial ( S9988 )

• 12 Services provided outside of the United States of America (list in addition to code(s) for services(s)) ( S9989 )

• 13 Services provided as part of a Phase II clinical trial ( S9990 )

• 14 Services provided as part of a Phase III clinical trial ( S9991 )

• 15 Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion ( S9992 )

• 16 Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion ( S9994 )

• 17 Meals for clinical trial participant and one caregiver/companion ( S9996 )

• 18 Sales tax ( S9999 )

• 19 Services by a journal-listed christian science nurse, per hour ( S9901 )