diff --git a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/actionmenu.test.ts.snap b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/actionmenu.test.ts.snap
index 73cfca5b005..1bdbbe57620 100644
--- a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/actionmenu.test.ts.snap
+++ b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/actionmenu.test.ts.snap
@@ -2,7 +2,6 @@
 
 exports[`Dynamic - no change 1`] = `
 "import { MenuItem, ActionMenu } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let actionMenuItems = [
   {name: 'Cut'},
   {name: 'Copy'},
@@ -19,7 +18,6 @@ let actionMenuItems = [
 
 exports[`Static - no change 1`] = `
 "import { MenuItem, ActionMenu } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 <div>
   <ActionMenu>
diff --git a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/breadcrumbs.test.ts.snap b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/breadcrumbs.test.ts.snap
index ec3337363c4..0dca1252694 100644
--- a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/breadcrumbs.test.ts.snap
+++ b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/breadcrumbs.test.ts.snap
@@ -2,7 +2,6 @@
 
 exports[`Comments out autoFocusCurrent 1`] = `
 "import { Breadcrumb, Breadcrumbs } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 // TODO(S2-upgrade): S2 Breadcrumbs no longer includes a nav element by default. You can wrap the Breadcrumbs component in a nav element if needed.
 // TODO(S2-upgrade): autoFocusCurrent has not been implemented yet.
@@ -15,7 +14,6 @@ import { Item } from '@adobe/react-spectrum';
 
 exports[`Comments out isMultiline 1`] = `
 "import { Breadcrumb, Breadcrumbs } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 // TODO(S2-upgrade): S2 Breadcrumbs no longer includes a nav element by default. You can wrap the Breadcrumbs component in a nav element if needed.
 // TODO(S2-upgrade): isMultiline has not been implemented yet.
@@ -28,7 +26,6 @@ import { Item } from '@adobe/react-spectrum';
 
 exports[`Comments out showRoot 1`] = `
 "import { Breadcrumb, Breadcrumbs } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 // TODO(S2-upgrade): S2 Breadcrumbs no longer includes a nav element by default. You can wrap the Breadcrumbs component in a nav element if needed.
 // TODO(S2-upgrade): showRoot has not been implemented yet.
@@ -43,7 +40,6 @@ import { Item } from '@adobe/react-spectrum';
 
 exports[`Dynamic - Renames Item to Breadcrumb 1`] = `
 "import { Breadcrumb, Breadcrumbs } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let folders = [
   {id: 1, label: 'Home'},
   {id: 2, label: 'Trendy'},
@@ -59,7 +55,6 @@ let folders = [
 
 exports[`Dynamic - Renames key to id 1`] = `
 "import { Breadcrumb, Breadcrumbs } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 const items = [
   {id: 1, name: 'News'},
   {id: 2, name: 'Travel'},
@@ -84,7 +79,6 @@ const items = [
 
 exports[`Leaves a comment if size prop contains "S" 1`] = `
 "import { Breadcrumb, Breadcrumbs } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 // TODO(S2-upgrade): S2 Breadcrumbs no longer includes a nav element by default. You can wrap the Breadcrumbs component in a nav element if needed.
 <Breadcrumbs // TODO(S2-upgrade): size="S" is no longer supported. You'll need to update this manually.
@@ -96,7 +90,6 @@ size={true ? 'M' : 'S'}>
 
 exports[`Removes size="S" 1`] = `
 "import { Breadcrumb, Breadcrumbs } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 // TODO(S2-upgrade): S2 Breadcrumbs no longer includes a nav element by default. You can wrap the Breadcrumbs component in a nav element if needed.
 <Breadcrumbs>
@@ -107,7 +100,6 @@ import { Item } from '@adobe/react-spectrum';
 
 exports[`Static - Renames Item to Breadcrumb and adds import 1`] = `
 "import { Breadcrumb, Breadcrumbs } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 <div>
   // TODO(S2-upgrade): S2 Breadcrumbs no longer includes a nav element by default. You can wrap the Breadcrumbs component in a nav element if needed.
@@ -121,7 +113,6 @@ import { Item } from '@adobe/react-spectrum';
 
 exports[`Static - Renames key to id 1`] = `
 "import { Breadcrumb, Breadcrumbs } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let externalKey = 'travel';
 <div>
   // TODO(S2-upgrade): S2 Breadcrumbs no longer includes a nav element by default. You can wrap the Breadcrumbs component in a nav element if needed.
diff --git a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/combobox.test.ts.snap b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/combobox.test.ts.snap
index 27125e3b4e9..0ddb9068e59 100644
--- a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/combobox.test.ts.snap
+++ b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/combobox.test.ts.snap
@@ -2,7 +2,6 @@
 
 exports[`Dynamic - Renames Item to ComboBoxItem 1`] = `
 "import { ComboBoxItem, ComboBox } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let options = [
   {id: 1, name: 'Aerospace'},
   {id: 2, name: 'Mechanical'}
@@ -18,7 +17,6 @@ let options = [
 
 exports[`Dynamic - Renames key to id 1`] = `
 "import { ComboBoxItem, ComboBox } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 const items = [
   {id: 1, name: 'News'},
   {id: 2, name: 'Travel'},
@@ -46,7 +44,6 @@ const items = [
 
 exports[`Removes isQuiet 1`] = `
 "import { ComboBoxItem, ComboBox } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let isQuiet = true;
 let props = {isQuiet: true};
 <div>
@@ -80,7 +77,6 @@ let props = {isQuiet: true};
 
 exports[`Removes placeholder 1`] = `
 "import { ComboBoxItem, ComboBox } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let placeholder = 'is this actually removed?';
 let props = {placeholder: 'is this actually removed?'};
 <div>
@@ -106,7 +102,6 @@ let props = {placeholder: 'is this actually removed?'};
 
 exports[`Static - Converts menuWidth to px value 1`] = `
 "import { ComboBoxItem, ComboBox } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let menuWidth = 'size-10';
 let props = {menuWidth: 'size-10'};
 <div>
@@ -142,7 +137,6 @@ let props = {menuWidth: 'size-10'};
 
 exports[`Static - Renames Item to ComboBoxItem 1`] = `
 "import { ComboBoxItem, ComboBox } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 <div>
   <ComboBox label="Favorite Animal">
     <ComboBoxItem>Red Panda</ComboBoxItem>
@@ -153,7 +147,6 @@ import { Item } from '@adobe/react-spectrum';
 
 exports[`Static - Renames key to id 1`] = `
 "import { ComboBoxItem, ComboBox } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let externalKey = 'travel';
 <div>
   <ComboBox label="Favorite Animal">
@@ -165,7 +158,6 @@ let externalKey = 'travel';
 
 exports[`changes validationState to isInvalid or nothing 1`] = `
 "import { ComboBoxItem, ComboBox } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let validationState = 'invalid';
 let props = {validationState: 'invalid'};
 <div>
@@ -199,7 +191,6 @@ let props = {validationState: 'invalid'};
 
 exports[`changes validationState to isInvalid or nothing 2`] = `
 "import { ComboBoxItem, ComboBox } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let validationState = 'invalid';
 let props = {validationState: 'invalid'};
 <div>
@@ -226,7 +217,6 @@ let props = {validationState: 'invalid'};
 
 exports[`handles sections 1`] = `
 "import { ComboBoxSection, ComboBoxItem, ComboBox } from "@react-spectrum/s2";
-import { Section, Item } from '@adobe/react-spectrum';
 <ComboBox>
   <ComboBoxSection><Header>Section title</Header>
     <ComboBoxItem>Item one</ComboBoxItem>
diff --git a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/imports.test.ts.snap b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/imports.test.ts.snap
index bf01f164749..46729b75825 100644
--- a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/imports.test.ts.snap
+++ b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/imports.test.ts.snap
@@ -100,6 +100,41 @@ import { StatusLight } from "@react-spectrum/s2";
 </>"
 `;
 
+exports[`should remove unused Item/Section import even if name taken in different scope 1`] = `
+"import { MenuSection, MenuItem, Menu } from "@react-spectrum/s2";
+
+function foo() {
+  let Item = 'something else';
+  let Section = 'something else';
+}
+
+<div>
+  <Menu aria-label="Text">
+    <MenuSection><Header>Styles</Header>
+      <MenuItem id="bold">Bold</MenuItem>
+      <MenuItem id="underline">Underline</MenuItem>
+    </MenuSection>
+  </Menu>
+</div>"
+`;
+
+exports[`should remove unused Item/Section import if aliased 1`] = `
+"import { MenuSection, MenuItem, Menu } from "@react-spectrum/s2";
+import {Section, Item} from 'elsewhere';
+
+<div>
+  <Section>
+    <Item>Test</Item>
+  </Section>
+  <Menu aria-label="Text">
+    <MenuSection><Header>Styles</Header>
+      <MenuItem id="bold"></MenuItem>
+      <MenuItem id="underline">Underline</MenuItem>
+    </MenuSection>
+  </Menu>
+</div>"
+`;
+
 exports[`should replace named imports 1`] = `
 "import { Button } from "@react-spectrum/s2";
 
@@ -114,7 +149,6 @@ exports[`should replace named imports from individual packages 1`] = `
 
 exports[`should use unique alias if newly imported component name is already in scope 1`] = `
 "import { Tag as Tag1, TagGroup } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 const Tag = 'something else';
 
diff --git a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/menu.test.ts.snap b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/menu.test.ts.snap
index 9b5149b26e1..8d7b1b88efa 100644
--- a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/menu.test.ts.snap
+++ b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/menu.test.ts.snap
@@ -2,7 +2,6 @@
 
 exports[`Dynamic - Renames Item to MenuItem with Submenu, Section to MenuSection 1`] = `
 "import { MenuItem, MenuSection, Menu, MenuTrigger, SubmenuTrigger, Button } from "@react-spectrum/s2";
-import { Item, Section } from '@adobe/react-spectrum';
 const items = [
   { id: 'copy', name: 'Copy' },
   { id: 'cut', name: 'Cut' },
@@ -68,7 +67,6 @@ const items = [
 
 exports[`Dynamic - Renames key to id 1`] = `
 "import { MenuItem, Menu, MenuTrigger, SubmenuTrigger, Button } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 const items = [
   { key: 'copy', name: 'Copy' },
   { key: 'cut', name: 'Cut' },
@@ -164,8 +162,6 @@ exports[`Static - Renames Item to MenuItem, Section to MenuSection 1`] = `
   Header,
   Heading,
 } from "@react-spectrum/s2";
-
-import { Item, Section } from '@adobe/react-spectrum';
 <div>
   <MenuTrigger>
     <Button>Edit</Button>
@@ -199,8 +195,6 @@ exports[`Static - Renames key to id 1`] = `
   Header,
   Heading,
 } from "@react-spectrum/s2";
-
-import { Item, Section } from '@adobe/react-spectrum';
 <div>
   <MenuTrigger>
     <Button>Edit</Button>
diff --git a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/multi-collection.test.ts.snap b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/multi-collection.test.ts.snap
index 27ba5c81e99..d5d02551ae8 100644
--- a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/multi-collection.test.ts.snap
+++ b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/multi-collection.test.ts.snap
@@ -55,8 +55,6 @@ exports[`Static - Renames Item to Breadcrumb and adds import 1`] = `
   Heading,
 } from "@react-spectrum/s2";
 
-import { Item, Section } from '@adobe/react-spectrum';
-
 <div>
   // TODO(S2-upgrade): S2 Breadcrumbs no longer includes a nav element by default. You can wrap the Breadcrumbs component in a nav element if needed.
   <Breadcrumbs>
diff --git a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/picker.test.ts.snap b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/picker.test.ts.snap
index 9c0a3335955..8c42f22c34a 100644
--- a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/picker.test.ts.snap
+++ b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/picker.test.ts.snap
@@ -2,7 +2,6 @@
 
 exports[`Dynamic - Renames Item to PickerItem 1`] = `
 "import { PickerItem, Picker } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let options = [
   {id: 1, name: 'Chocolate'},
   {id: 2, name: 'Vanilla'}
@@ -28,7 +27,6 @@ let options = [
 
 exports[`Static - Converts menuWidth to px value 1`] = `
 "import { PickerItem, Picker } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let menuWidth = 'size-10';
 let props = {menuWidth: 'size-10'};
 <div>
@@ -64,7 +62,6 @@ let props = {menuWidth: 'size-10'};
 
 exports[`Static - Removes isQuiet 1`] = `
 "import { PickerItem, Picker } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let isQuiet = true;
 let props = {isQuiet: true};
 <div>
@@ -94,7 +91,6 @@ let props = {isQuiet: true};
 
 exports[`Static - Renames Item to PickerItem 1`] = `
 "import { PickerItem, Picker } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 <div>
   <Picker label="Ice Cream">
     <PickerItem>Chocolate</PickerItem>
@@ -105,7 +101,6 @@ import { Item } from '@adobe/react-spectrum';
 
 exports[`Static - Renames key to id 1`] = `
 "import { PickerItem, Picker } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 <div>
   <Picker label="Ice Cream">
     <PickerItem id="chocolate">Chocolate</PickerItem>
@@ -116,7 +111,6 @@ import { Item } from '@adobe/react-spectrum';
 
 exports[`changes validationState to isInvalid or nothing 1`] = `
 "import { PickerItem, Picker } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let validationState = 'invalid';
 let props = {validationState: 'invalid'};
 <div>
@@ -147,7 +141,6 @@ let props = {validationState: 'invalid'};
 
 exports[`handles sections 1`] = `
 "import { PickerSection, PickerItem, Picker } from "@react-spectrum/s2";
-import { Section, Item } from '@adobe/react-spectrum';
 <Picker>
   <PickerSection><Header>Section title</Header>
     <PickerItem>Item one</PickerItem>
diff --git a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/tabs.test.ts.snap b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/tabs.test.ts.snap
index fc7da05e709..d69fa9a6648 100644
--- a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/tabs.test.ts.snap
+++ b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/tabs.test.ts.snap
@@ -30,7 +30,6 @@ let items = [
 
 exports[`Remove isEmphasized 1`] = `
 "import { Tab, TabPanel, Tabs, TabList } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let isEmphasized = true;
 let props = {isEmphasized: true};
 <div>
@@ -65,7 +64,6 @@ let props = {isEmphasized: true};
 
 exports[`Remove isQuiet 1`] = `
 "import { Tab, TabPanel, Tabs, TabList } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 let isQuiet = true;
 let props = {isQuiet: true};
 <div>
@@ -100,7 +98,6 @@ let props = {isQuiet: true};
 
 exports[`Update to use new API 1`] = `
 "import { Tab, TabPanel, Tabs, TabList } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 <Tabs aria-label="History of Ancient Rome"><TabList>
     <Tab id="FoR">Founding of Rome</Tab>
diff --git a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/taggroup.test.ts.snap b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/taggroup.test.ts.snap
index cb28f5c4531..b7466aebe0a 100644
--- a/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/taggroup.test.ts.snap
+++ b/packages/dev/codemods/src/s1-to-s2/__tests__/__snapshots__/taggroup.test.ts.snap
@@ -2,7 +2,6 @@
 
 exports[`Dynamic - Renames Item to Tag 1`] = `
 "import { Tag, TagGroup } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 const items = [
   {id: 1, name: 'News'},
   {id: 2, name: 'Travel'},
@@ -19,7 +18,6 @@ const items = [
 
 exports[`Dynamic - Renames key to id 1`] = `
 "import { Tag, TagGroup } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 const items = [
   {id: 1, name: 'News'},
   {id: 2, name: 'Travel'},
@@ -42,7 +40,6 @@ const items = [
 
 exports[`Static - Renames Item to Tag 1`] = `
 "import { Tag, TagGroup } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 <div>
   <TagGroup aria-label="Static TagGroup items example">
@@ -56,7 +53,6 @@ import { Item } from '@adobe/react-spectrum';
 
 exports[`Static - Renames key to id 1`] = `
 "import { Tag, TagGroup } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 let externalKey = 'travel';
 <div>
@@ -71,7 +67,6 @@ let externalKey = 'travel';
 
 exports[`changes validationState to isInvalid or nothing 1`] = `
 "import { Tag, TagGroup } from "@react-spectrum/s2";
-import { Item } from '@adobe/react-spectrum';
 
 let validationState = 'invalid';
 let props = {validationState: 'invalid'};
diff --git a/packages/dev/codemods/src/s1-to-s2/__tests__/imports.test.ts b/packages/dev/codemods/src/s1-to-s2/__tests__/imports.test.ts
index 9d50269b609..539eb2404b7 100644
--- a/packages/dev/codemods/src/s1-to-s2/__tests__/imports.test.ts
+++ b/packages/dev/codemods/src/s1-to-s2/__tests__/imports.test.ts
@@ -127,3 +127,38 @@ import {Button} from "@react-spectrum/s2";
   <StatusLight variant="positive">Test</StatusLight>
 </>
 `);
+
+test('should remove unused Item/Section import even if name taken in different scope', `
+import {Menu, Section, Item} from '@adobe/react-spectrum';
+
+function foo() {
+  let Item = 'something else';
+  let Section = 'something else';
+}
+
+<div>
+  <Menu aria-label="Text">
+    <Section title="Styles">
+      <Item key="bold">Bold</Item>
+      <Item key="underline">Underline</Item>
+    </Section>
+  </Menu>
+</div>
+`);
+
+test('should remove unused Item/Section import if aliased', `
+import {Menu, Section as RSPSection, Item as RSPItem} from '@adobe/react-spectrum';
+import {Section, Item} from 'elsewhere';
+
+<div>
+  <Section>
+    <Item>Test</Item>
+  </Section>
+  <Menu aria-label="Text">
+    <RSPSection title="Styles">
+      <RSPItem key="bold"></RSPItem>
+      <RSPItem key="underline">Underline</RSPItem>
+    </RSPSection>
+  </Menu>
+</div>
+`);
diff --git a/packages/dev/codemods/src/s1-to-s2/src/codemods/codemod.ts b/packages/dev/codemods/src/s1-to-s2/src/codemods/codemod.ts
index b53877eff39..11437f02938 100644
--- a/packages/dev/codemods/src/s1-to-s2/src/codemods/codemod.ts
+++ b/packages/dev/codemods/src/s1-to-s2/src/codemods/codemod.ts
@@ -203,9 +203,11 @@ export default function transformer(file: FileInfo, api: API, options: Options)
         t.isIdentifier(b.path.node.imported) &&
         (b.path.node.imported.name === 'Item' || b.path.node.imported.name === 'Section')
       ) {
-        // Keep Item and Section imports
-        // TODO: remove if they are unused
-        return;
+        // Keep Item and Section imports if they are still used
+        bindings[0]?.path.scope.crawl();
+        if (bindings[0]?.path.scope.bindings[b.path.node.local.name]?.referencePaths.length > 0) {
+          return;
+        }
       }
       b.path.remove();