2025 HCPCS code S2260

Induced abortion between the 17th and 24th week of gestation for maternal or fetal indications.

HCPCS S-codes are used for drugs, services, and supplies not covered by Medicare, and are primarily used by private payers and Medicaid.Always check with the specific payer for coverage guidelines.

Medical necessity must be clearly documented, including the specific maternal or fetal indication that justifies the abortion.

The provider is responsible for administering the abortion-inducing medication and managing any complications, such as heavy bleeding.

IMPORTANT For induced abortions at different gestational periods, see codes S2265 to S2267.

In simple words: This code covers a procedure to end a pregnancy between 17 and 24 weeks due to health risks for the mother or fetus.Medication is used to start the process, and sometimes a surgical procedure may be needed if there is heavy bleeding.

The provider induces an abortion between the 17th and 24th week of gestation for maternal or fetal indications.The provider administers an abortion-inducing medication, such as misoprostol or a combination of misoprostol and mifepristone, either vaginally or sublingually. Alternatively, the provider administers prostaglandin vaginally at three to six hour intervals to induce abortion. For heavy vaginal bleeding, the patient may require surgical evacuation of retained products of the placenta.

Example 1: A pregnant woman at 20 weeks gestation develops severe pre-eclampsia, endangering her life. The decision is made to terminate the pregnancy using medication, and code S2260 is used., A fetus is diagnosed with a severe congenital anomaly incompatible with life at 18 weeks gestation.The parents choose to terminate the pregnancy, and S2260 is applied., A woman at 22 weeks gestation experiences premature rupture of membranes and infection.To protect her health, an induced abortion is performed, and S2260 is billed.

Documentation should include the gestational age, the medical reason for the abortion, the method used, any complications, and any additional procedures performed (e.g., surgical evacuation).

** This code may not be reimbursed by all payers. More specific codes may be available. Always verify coverage and coding guidelines with the specific payer.

  • Payment Status: Private Payers/Medicaid (Medicare does not pay)
  • Specialties:Obstetrics and Gynecology
  • Place of Service:Inpatient Hospital; Outpatient Hospital; Clinic
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