List of HCPCS codes for: Private Payer Codes (S-codes) - Group S9

HCPCS Code	Short Description	Long Description
S9001	Home uterine monitor with or	Home uterine monitor with or without associated nursing services
S9002	Intra-vag motion sens biofk	Intra-vaginal motion sensor system, provides biofeedback for pelvic floor muscle rehabilitation device
S9007	Ultrafiltration monitor	Ultrafiltration monitor
S9015	Automated eeg monitoring	Automated eeg monitoring
S9024	Paranasal sinus ultrasound	Paranasal sinus ultrasound
S9025	Omnicardiogram/cardiointegra	Omnicardiogram/cardiointegram
S9034	Eswl for gallstones	Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265)
S9055	Procuren or other growth fac	Procuren or other growth factor preparation to promote wound healing
S9056	Coma stimulation per diem	Coma stimulation per diem
S9061	Medical supplies and equipme	Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9083	Urgent care center global	Global fee urgent care centers
S9088	Services provided in urgent	Services provided in an urgent care center (list in addition to code for service)
S9090	Vertebral axial decompressio	Vertebral axial decompression, per session
S9097	Home visit wound care	Home visit for wound care
S9098	Home phototherapy visit	Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem
S9110	Telemonitoring/home per mnth	Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month
S9117	Back school visit	Back school, per visit
S9122	Home health aide or certifie	Home health aide or certified nurse assistant, providing care in the home; per hour
S9123	Nursing care in home rn	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)
S9124	Nursing care, in the home; b	Nursing care, in the home; by licensed practical nurse, per hour
S9125	Respite care, in the home, p	Respite care, in the home, per diem
S9126	Hospice care, in the home, p	Hospice care, in the home, per diem
S9127	Social work visit, in the ho	Social work visit, in the home, per diem
S9128	Speech therapy, in the home,	Speech therapy, in the home, per diem
S9129	Occupational therapy, in the	Occupational therapy, in the home, per diem
S9131	Pt in the home per diem	Physical therapy; in the home, per diem
S9140	Diabetic management program,	Diabetic management program, follow-up visit to non-md provider
S9141	Diabetic management program,	Diabetic management program, follow-up visit to md provider
S9145	Insulin pump initiation	Insulin pump initiation, instruction in initial use of pump (pump not included)
S9150	Evaluation by ocularist	Evaluation by ocularist
S9152	Speech therapy, re-eval	Speech therapy, re-evaluation
S9208	Home mgmt preterm labor	Home management of preterm labor, including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)
S9209	Home mgmt pprom	Home management of preterm premature rupture of membranes (pprom), including administrative services, professional pharmacy services, care coordination, and all necessary supplies or equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)
S9211	Home mgmt gest hypertension	Home management of gestational hypertension, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code)
S9212	Hm postpar hyper per diem	Home management of postpartum hypertension, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with any home infusion per diem code)
S9213	Hm preeclamp per diem	Home management of preeclampsia, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately); per diem (do not use this code with any home infusion per diem code)
S9214	Hm gest dm per diem	Home management of gestational diabetes, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code)
S9325	Hit pain mgmt per diem	Home infusion therapy, pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (do not use this code with s9326, s9327 or s9328)
S9326	Hit cont pain per diem	Home infusion therapy, continuous (twenty-four hours or more) pain management infusion; administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9327	Hit int pain per diem	Home infusion therapy, intermittent (less than twenty-four hours) pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9328	Hit pain imp pump diem	Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9329	Hit chemo per diem	Home infusion therapy, chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with s9330 or s9331)
S9330	Hit cont chem diem	Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9331	Hit intermit chemo diem	Home infusion therapy, intermittent (less than twenty-four hours) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9335	Ht hemodialysis diem	Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem
S9336	Hit cont anticoag diem	Home infusion therapy, continuous anticoagulant infusion therapy (e.g., heparin), administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9338	Hit immunotherapy diem	Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9339	Hit periton dialysis diem	Home therapy; peritoneal dialysis, administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9340	Hit enteral per diem	Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem
S9341	Hit enteral grav diem	Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem
S9342	Hit enteral pump diem	Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem
S9343	Hit enteral bolus nurs	Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem
S9345	Hit anti-hemophil diem	Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor viii); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9346	Hit alpha-1-proteinas diem	Home infusion therapy, alpha-1-proteinase inhibitor (e.g., prolastin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9347	Hit longterm infusion diem	Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or subcutaneous infusion therapy (e.g., epoprostenol); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9348	Hit sympathomim diem	Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9349	Hit tocolysis diem	Home infusion therapy, tocolytic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9351	Hit cont antiemetic diem	Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem
S9353	Hit cont insulin diem	Home infusion therapy, continuous insulin infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9355	Hit chelation diem	Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9357	Hit enzyme replace diem	Home infusion therapy, enzyme replacement intravenous therapy; (e.g., imiglucerase); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9359	Hit anti-tnf per diem	Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9361	Hit diuretic infus diem	Home infusion therapy, diuretic intravenous therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9363	Hit anti-spasmotic diem	Home infusion therapy, anti-spasmotic therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9364	Hit tpn total diem	Home infusion therapy, total parenteral nutrition (tpn); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem (do not use with home infusion codes s9365-s9368 using daily volume scales)
S9365	Hit tpn 1 liter diem	Home infusion therapy, total parenteral nutrition (tpn); one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem
S9366	Hit tpn 2 liter diem	Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem
S9367	Hit tpn 3 liter diem	Home infusion therapy, total parenteral nutrition (tpn); more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem
S9368	Hit tpn over 3l diem	Home infusion therapy, total parenteral nutrition (tpn); more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem
S9370	Ht inj antiemetic diem	Home therapy, intermittent anti-emetic injection therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9372	Ht inj anticoag diem	Home therapy; intermittent anticoagulant injection therapy (e.g., heparin); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code for flushing of infusion devices with heparin to maintain patency)
S9373	Hit hydra total diem	Home infusion therapy, hydration therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use with hydration therapy codes s9374-s9377 using daily volume scales)
S9374	Hit hydra 1 liter diem	Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9375	Hit hydra 2 liter diem	Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9376	Hit hydra 3 liter diem	Home infusion therapy, hydration therapy; more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9377	Hit hydra over 3l diem	Home infusion therapy, hydration therapy; more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies (drugs and nursing visits coded separately), per diem
S9379	Hit noc per diem	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9381	Hit high risk/escort	Delivery or service to high risk areas requiring escort or extra protection, per visit
S9401	Anticoag clinic per session	Anticoagulation clinic, inclusive of all services except laboratory tests, per session
S9430	Pharmacy comp/disp serv	Pharmacy compounding and dispensing services
S9432	Med food non inborn err meta	Medical foods for non-inborn errors of metabolism
S9433	Medical food oral 100% nutr	Medical food nutritionally complete, administered orally, providing 100% of nutritional intake
S9434	Mod solid food suppl	Modified solid food supplements for inborn errors of metabolism
S9435	Medical foods for inborn err	Medical foods for inborn errors of metabolism
S9436	Lamaze class	Childbirth preparation/lamaze classes, non-physician provider, per session
S9437	Childbirth refresher class	Childbirth refresher classes, non-physician provider, per session
S9438	Cesarean birth class	Cesarean birth classes, non-physician provider, per session
S9439	Vbac class	Vbac (vaginal birth after cesarean) classes, non-physician provider, per session
S9441	Asthma education	Asthma education, non-physician provider, per session
S9442	Birthing class	Birthing classes, non-physician provider, per session
S9443	Lactation class	Lactation classes, non-physician provider, per session
S9444	Parenting class	Parenting classes, non-physician provider, per session
S9445	Pt education noc individ	Patient education, not otherwise classified, non-physician provider, individual, per session
S9446	Pt education noc group	Patient education, not otherwise classified, non-physician provider, group, per session
S9447	Infant safety class	Infant safety (including cpr) classes, non-physician provider, per session
S9449	Weight mgmt class	Weight management classes, non-physician provider, per session
S9451	Exercise class	Exercise classes, non-physician provider, per session
S9452	Nutrition class	Nutrition classes, non-physician provider, per session
S9453	Smoking cessation class	Smoking cessation classes, non-physician provider, per session
S9454	Stress mgmt class	Stress management classes, non-physician provider, per session
S9455	Diabetic management program,	Diabetic management program, group session
S9460	Diabetic management program,	Diabetic management program, nurse visit
S9465	Diabetic management program,	Diabetic management program, dietitian visit
S9470	Nutritional counseling, diet	Nutritional counseling, dietitian visit
S9472	Cardiac rehabilitation progr	Cardiac rehabilitation program, non-physician provider, per diem
S9473	Pulmonary rehabilitation pro	Pulmonary rehabilitation program, non-physician provider, per diem
S9474	Enterostomal therapy by a re	Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem
S9475	Ambulatory setting substance	Ambulatory setting substance abuse treatment or detoxification services, per diem
S9476	Vestibular rehab per diem	Vestibular rehabilitation program, non-physician provider, per diem
S9480	Intensive outpatient psychia	Intensive outpatient psychiatric services, per diem
S9482	Family stabilization 15 min	Family stabilization services, per 15 minutes
S9484	Crisis intervention per hour	Crisis intervention mental health services, per hour
S9485	Crisis intervention mental h	Crisis intervention mental health services, per diem
S9490	Hit corticosteroid/diem	Home infusion therapy, corticosteroid infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9494	Hit antibiotic total diem	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504)
S9497	Hit antibiotic q3h diem	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9500	Hit antibiotic q24h diem	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9501	Hit antibiotic q12h diem	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9502	Hit antibiotic q8h diem	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9503	Hit antibiotic q6h diem	Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9504	Hit antibiotic q4h diem	Home infusion therapy, antibiotic, antiviral, or antifungal; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9529	Venipuncture home/snf	Routine venipuncture for collection of specimen(s), single home bound, nursing home, or skilled nursing facility patient
S9537	Ht hem horm inj diem	Home therapy; hematopoietic hormone injection therapy (e.g., erythropoietin, g-csf, gm-csf); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9538	Hit blood products diem	Home transfusion of blood product(s); administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment (blood products, drugs, and nursing visits coded separately), per diem
S9542	Ht inj noc per diem	Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9558	Ht inj growth horm diem	Home injectable therapy; growth hormone, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9559	Hit inj interferon diem	Home injectable therapy, interferon, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9560	Ht inj hormone diem	Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9562	Ht inj palivizumab/ab diem	Home injectable therapy, palivizumab or other monoclonal antibody for rsv, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9563	Ht inj immuno diem	Home injectable therapy, immunotherapy, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9590	Ht irrigation diem	Home therapy, irrigation therapy (e.g., sterile irrigation of an organ or anatomical cavity); including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
S9810	Ht pharm per hour	Home therapy; professional pharmacy services for provision of infusion, specialty drug administration, and/or disease state management, not otherwise classified, per hour (do not use this code with any per diem code)
S9900	Christian sci pract visit	Services by a journal-listed christian science practitioner for the purpose of healing, per diem
S9901	Christian sci nurse visit	Services by a journal-listed christian science nurse, per hour
S9960	Air ambulanc nonemerg fixed	Ambulance service, conventional air service, nonemergency transport, one way (fixed wing)
S9961	Air ambulan nonemerg rotary	Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)
S9970	Health club membership yr	Health club membership, annual
S9975	Transplant related per diem	Transplant related lodging, meals and transportation, per diem
S9976	Lodging per diem	Lodging, per diem, not otherwise classified
S9977	Meals per diem	Meals, per diem, not otherwise specified
S9981	Med record copy admin	Medical records copying fee, administrative
S9982	Med record copy per page	Medical records copying fee, per page
S9986	Not medically necessary svc	Not medically necessary service (patient is aware that service not medically necessary)
S9988	Serv part of phase i trial	Services provided as part of a phase i clinical trial
S9989	Services outside us	Services provided outside of the united states of america (list in addition to code(s) for service(s))
S9990	Services provided as part of	Services provided as part of a phase ii clinical trial
S9991	Services provided as part of	Services provided as part of a phase iii clinical trial
S9992	Transportation costs to and	Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion
S9994	Lodging costs (e.g. hotel ch	Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion
S9996	Meals for clinical trial par	Meals for clinical trial participant and one caregiver/companion
S9999	Sales tax	Sales tax