S0280 HCPCS Level II Code: Medical home program, comprehensive care coordination and planning, initial plan
HCPCS Level II code, maintained by CMS. Not a CPT code: CPT (HCPCS Level I) is a separate AMA code set that MedCoder does not publish. About HCPCS Level II
Compare with another code for S0280Check this code on a claim
Code status: Valid code · October 2026. A valid code in the CMS HCPCS Level II October 2026 file. Valid is not covered or payable: Medicare payment and coverage are shown below in CMS’s own terms.
Medicare Coverage & Payment
- CMS short descriptor: Medical home, initial plan
- Medicare coverage: Not payable by Medicare (CMS coverage code I)
- Payment category: Service not separately priced (pricing indicator 00)
- BETOS: Z2 — Undefined codes
- Last CMS action effective: January 1, 2010
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Contextual Map
Every relationship of S0280 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (19)
- S0201 — Partial hospitalization services, less than 24 hours, per diem[Sibling]— CMS HCPCS Level II code set
- S0207 — Paramedic intercept, non-hospital-based als service (non-voluntary), non-transport[Sibling]— CMS HCPCS Level II code set
- S0208 — Paramedic intercept, hospital-based als service (non-voluntary), non-transport[Sibling]— CMS HCPCS Level II code set
- S0209 — Wheelchair van, mileage, per mile[Sibling]— CMS HCPCS Level II code set
- S0215 — Non-emergency transportation; mileage, per mile[Sibling]— CMS HCPCS Level II code set
- S0220 — Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes[Sibling]— CMS HCPCS Level II code set
- S0221 — Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes[Sibling]— CMS HCPCS Level II code set
- S0250 — Comprehensive geriatric assessment and treatment planning performed by assessment team[Sibling]— CMS HCPCS Level II code set
- and 11 more
Change history
- January 1, 2010 — Added to the code set [Change history]— CMS release files (code change ledger)
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — October 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "S0280 — Medical home program, comprehensive care coordination and planning, initial plan." HCPCS Level II October 2026. https://medcoder.ai/hcpcs/code/s0280-medical-home-program-comprehensive-care-coordination-and-planning-initial-plan
Change history
- January 1, 2010Added to the code setMedical home program, comprehensive care coordination and planning, initial planHCPCS 2010 changes
Nearest Codes in This Family
Official HCPCS Level II classifications closest to S0280 in its code family, with their registry titles.
- S0257 — Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and…
- S0260 — History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service)
- S0265 — Genetic counseling, under physician supervision, each 15 minutes
- S0270 — Physician management of patient home care, standard monthly case rate (per 30 days)
- S0271 — Physician management of patient home care, hospice monthly case rate (per 30 days)
- S0272 — Physician management of patient home care, episodic care monthly case rate (per 30 days)
- S0273 — Physician visit at member's home, outside of a capitation arrangement
- S0274 — Nurse practitioner visit at member's home, outside of a capitation arrangement
- S0281 — Medical home program, comprehensive care coordination and planning, maintenance of plan
- S0285 — Colonoscopy consultation performed prior to a screening colonoscopy procedure