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HCPCS S2260 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Induced abortion, 17 to 24 weeks
Key FactDetail
Service Type

Temporary National Codes (Non-Medicare)

Miscellaneous Provider Services and Supplies

Common Place of Service

22 - On Campus Outpatient Hospital

11 - Office

21 - Inpatient Hospital

Complexity LevelModerate

National average reimbursement for HCPCS S2260 by major payers:

bcbs

$382.12

uhc

$1,775.70

aetna

$296.70

cigna

$744.80

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HCPCS S2260

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HCPCS S2260 vs. Other Miscellaneous Provider Services and Supplies Codes

The HCPCS S2260 code is part of the Temporary National Codes (Non-Medicare) services used for Miscellaneous Provider Services and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS S2260 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
S2235-HCPCSHighImplantation of auditory brain stem implant
S2260-HCPCSModerateInduced abortion, 17 to 24 weeks
S2265-HCPCSModerateInduced abortion, 25 to 28 weeks

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S2260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the S2260 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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