HCPCS Code S0189: Testosterone Pellet, 75 mg

No. Medicare does not reimburse S0189. For Medicare beneficiaries, testosterone pellets should be billed under J3490 (unclassified drug) with full clinical details and NDC information included.

Bill one unit per 75 mg pellet. For example, if six pellets are implanted, report six units of S0189 along with CPT 11980 for the implantation procedure.

Yes, many commercial payers require prior authorization. Plans such as Blue Shield often request documentation of testosterone deficiency, evidence of failed or intolerant response to injections or topical formulations, and proper diagnostic coding before approval.