List of HCPCS codes for: Private Payer Codes (S-codes) - Group S5

HCPCS Code	Short Description	Long Description
S5000	Prescription drug, generic	Prescription drug, generic
S5001	Prescription drug,brand name	Prescription drug, brand name
S5010	5% dextrose and 0.45% saline	5% dextrose and 0.45% normal saline, 1000 ml
S5011	5% dextrose in lactated ring	5% dextrose in lactated ringer's, 1000 ml
S5012	5% dextrose with potassium	5% dextrose with potassium chloride, 1000 ml
S5013	5%dextrose/0.45%saline1000ml	5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml
S5014	D5w/0.45ns w kcl and mgs04	5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml
S5035	Hit routine device maint	Home infusion therapy, routine service of infusion device (e.g., pump maintenance)
S5036	Hit device repair	Home infusion therapy, repair of infusion device (e.g., pump repair)
S5100	Adult daycare services 15min	Day care services, adult; per 15 minutes
S5101	Adult day care per half day	Day care services, adult; per half day
S5102	Adult day care per diem	Day care services, adult; per diem
S5105	Centerbased day care perdiem	Day care services, center-based; services not included in program fee, per diem
S5108	Homecare train pt 15 min	Home care training to home care client, per 15 minutes
S5109	Homecare train pt session	Home care training to home care client, per session
S5110	Family homecare training 15m	Home care training, family; per 15 minutes
S5111	Family homecare train/sessio	Home care training, family; per session
S5115	Nonfamily homecare train/15m	Home care training, non-family; per 15 minutes
S5116	Nonfamily hc train/session	Home care training, non-family; per session
S5120	Chore services per 15 min	Chore services; per 15 minutes
S5121	Chore services per diem	Chore services; per diem
S5125	Attendant care service /15m	Attendant care services; per 15 minutes
S5126	Attendant care service /diem	Attendant care services; per diem
S5130	Homaker service nos per 15m	Homemaker service, nos; per 15 minutes
S5131	Homemaker service nos /diem	Homemaker service, nos; per diem
S5135	Adult companioncare per 15m	Companion care, adult (e.g., iadl/adl); per 15 minutes
S5136	Adult companioncare per diem	Companion care, adult (e.g., iadl/adl); per diem
S5140	Adult foster care per diem	Foster care, adult; per diem
S5141	Adult foster care per month	Foster care, adult; per month
S5145	Child fostercare th per diem	Foster care, therapeutic, child; per diem
S5146	Ther fostercare child /month	Foster care, therapeutic, child; per month
S5150	Unskilled respite care /15m	Unskilled respite care, not hospice; per 15 minutes
S5151	Unskilled respitecare /diem	Unskilled respite care, not hospice; per diem
S5160	Emer response sys instal&tst	Emergency response system; installation and testing
S5161	Emer rspns sys serv permonth	Emergency response system; service fee, per month (excludes installation and testing)
S5162	Emer rspns system purchase	Emergency response system; purchase only
S5165	Home modifications per serv	Home modifications; per service
S5170	Homedelivered prepared meal	Home delivered meals, including preparation; per meal
S5175	Laundry serv,ext,prof,/order	Laundry service, external, professional; per order
S5180	Hh respiratory thrpy in eval	Home health respiratory therapy, initial evaluation
S5181	Hh respiratory thrpy nos/day	Home health respiratory therapy, nos, per diem
S5185	Med reminder serv per month	Medication reminder service, non-face-to-face; per month
S5190	Wellness assessment by nonph	Wellness assessment, performed by non-physician
S5199	Personal care item nos each	Personal care item, nos, each
S5497	Hit cath care noc	Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S5498	Hit simple cath care	Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem
S5501	Hit complex cath care	Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S5502	Hit interim cath care	Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use)
S5517	Hit declotting kit	Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting
S5518	Hit cath repair kit	Home infusion therapy, all supplies necessary for catheter repair
S5520	Hit picc insert kit	Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion
S5521	Hit midline cath insert kit	Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion
S5522	Hit picc insert no supp	Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included)
S5523	Hip midline cath insert kit	Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)
S5550	Insulin rapid 5 u	Insulin, rapid onset, 5 units
S5551	Insulin most rapid 5 u	Insulin, most rapid onset (lispro or aspart); 5 units
S5552	Insulin intermed 5 u	Insulin, intermediate acting (nph or lente); 5 units
S5553	Insulin long acting 5 u	Insulin, long acting; 5 units
S5560	Insulin reuse pen 1.5 ml	Insulin delivery device, reusable pen; 1.5 ml size
S5561	Insulin reuse pen 3 ml	Insulin delivery device, reusable pen; 3 ml size
S5565	Insulin cartridge 150 u	Insulin cartridge for use in insulin delivery device other than pump; 150 units
S5566	Insulin cartridge 300 u	Insulin cartridge for use in insulin delivery device other than pump; 300 units
S5570	Insulin dispos pen 1.5 ml	Insulin delivery device, disposable pen (including insulin); 1.5 ml size
S5571	Insulin dispos pen 3 ml	Insulin delivery device, disposable pen (including insulin); 3 ml size