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HCPCS Level II · Temporary national codes (non-Medicare)

S0504Single vision prescription lens (safety, athletic, or sunglass), per lens

✓ Active

Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About S0504

S0504 is an HCPCS Level II code in the S series (temporary national codes (non-Medicare)), describing single vision prescription lens (safety, athletic, or sunglass), per lens.

It was added to HCPCS effective 07/01/2001.

Its Medicare coverage code is "I", meaning it is not payable by Medicare (another code or method is used).

Details

Short description
Singl prscrp lens
Date added
07/01/2001
Action effective
07/01/2001
BETOS
Z2

Related S05xx codes

Common questions about S0504

Is HCPCS S0504 still valid?

Yes. S0504 is active in the CMS October 2026 HCPCS file.

Does Medicare cover S0504?

Its coverage code is "I": it is not payable by Medicare (another code or method is used). Check the local coverage determination for your region.