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HCPCS Procedure & Supply Codes

Private Payer Codes

section notes

S5000

section notes
S5000   Prescription drug, generic
S5001   Prescription drug, brand name
S5010   5% dextrose and 0.45% normal saline, 1000 ml
S5012   5% dextrose with potassium chloride, 1000 ml
S5013   5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1...
S5014   5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1...
S5035   Home infusion therapy, routine service of infusion device (e.g., pump maintenance)
S5036   Home infusion therapy, repair of infusion device (e.g., pump repair)
S5100   Day care services, adult; per 15 minutes
S5101   Day care services, adult; per half day
S5102   Day care services, adult; per diem
S5105   Day care services, center-based; services not included in program fee, per diem
S5108   Home care training to home care client, per 15 minutes
S5109   Home care training to home care client, per session
S5110   Home care training, family; per 15 minutes
S5111   Home care training, family; per session
S5115   Home care training, non-family; per 15 minutes
S5116   Home care training, non-family; per session
S5120   Chore services; per 15 minutes
S5121   Chore services; per diem
S5125   Attendant care services; per 15 minutes
S5126   Attendant care services; per diem
S5130   Homemaker service, nos; per 15 minutes
S5131   Homemaker service, nos; per diem
S5135   Companion care, adult (e.g., iadl/adl); per 15 minutes
S5136   Companion care, adult (e.g., iadl/adl); per diem
S5140   Foster care, adult; per diem
S5141   Foster care, adult; per month
S5145   Foster care, therapeutic, child; per diem
S5146   Foster care, therapeutic, child; per month
S5150   Unskilled respite care, not hospice; per 15 minutes
S5151   Unskilled respite care, not hospice; per diem
S5160   Emergency response system; installation and testing
S5161   Emergency response system; service fee, per month (excludes installation and testing)
S5162   Emergency response system; purchase only
S5165   Home modifications; per service
S5170   Home delivered meals, including preparation; per meal
S5175   Laundry service, external, professional; per order
S5180   Home health respiratory therapy, initial evaluation
S5181   Home health respiratory therapy, nos, per diem
S5185   Medication reminder service, non-face-to-face; per month
S5190   Wellness assessment, performed by non-physician
S5199   Personal care item, nos, each
S5497   Home infusion therapy, catheter care / maintenance, not otherwise classified; in...
S5498   Home infusion therapy, catheter care / maintenance, simple (single lumen), inclu...
S5501   Home infusion therapy, catheter care / maintenance, complex (more than one lumen...
S5502   Home infusion therapy, catheter care / maintenance, implanted access device, inc...
S5517   Home infusion therapy, all supplies necessary for restoration of catheter patenc...
S5518   Home infusion therapy, all supplies necessary for catheter repair
S5520   Home infusion therapy, all supplies (including catheter) necessary for a periphe...
S5521   Home infusion therapy, all supplies (including catheter) necessary for a midline...
S5522   Home infusion therapy, insertion of peripherally inserted central venous cathete...
S5523   Home infusion therapy, insertion of midline venous catheter, nursing services on...
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