S0013
HCPCSTerminatedOfficial descriptor: Esketamine, nasal spray
Esketamine, nasal spray, 1 mg
Inactive since December 31, 2025
This code is no longer billable. Claims with this code will be denied for dates of service after the inactive date.
No automated successor mapping is available. Consult the CMS transmittal or AMA CPT Assistant for replacement guidance.
This code represents a 1 mg unit of esketamine, a novel antidepressant administered intranasally. It is specifically formulated for the treatment of treatment-resistant depression (TRD) and major depressive disorder (MDD) with acute suicidal ideation or behavior. Esketamine acts as an N-methyl-D-aspartate (NMDA) receptor antagonist, offering a rapid onset of action for severe depressive symptoms.
Use this code when billing for the esketamine nasal spray administered in a supervised healthcare setting. This typically occurs in conjunction with an oral antidepressant for patients diagnosed with TRD or MDD with acute suicidality. Documentation should clearly indicate the drug's administration, dosage, and the patient's qualifying diagnosis.
AI-generated reference. Verify against official guidelines.
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This code is no longer billable. Check the replacement code if applicable.
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