S-code: Temporary national codes (non-Medicare) Temporary national codes (non-Medicare)
533 codes
Billing context
S-codes are temporary national codes established for private payers and Medicaid programs. They are not payable by Medicare; whether a payer recognizes an S-code, and how it pays, varies by payer and contract.
| Code | Long descriptor | Payment limit (Q4 2026) | Added | Status |
|---|---|---|---|---|
| S9123 | 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) | — | Jan 1, 2000 | Active |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | — | Jan 1, 2000 | Active |
| S9125 | Respite care, in the home, per diem | — | Jan 1, 2000 | Active |
| S9126 | Hospice care, in the home, per diem | — | Jan 1, 2000 | Active |
| S9127 | Social work visit, in the home, per diem | — | Jan 1, 2000 | Active |
| S9128 | Speech therapy, in the home, per diem | — | Jan 1, 2000 | Active |
| S9129 | Occupational therapy, in the home, per diem | — | Jan 1, 2000 | Active |
| S9131 | Physical therapy; in the home, per diem | — | Jan 1, 2002 | Active |
| S9140 | Diabetic management program, follow-up visit to non-md provider | — | Jan 1, 2000 | Active |
| S9141 | Diabetic management program, follow-up visit to md provider | — | Jan 1, 2000 | Active |
| S9145 | Insulin pump initiation, instruction in initial use of pump (pump not included) | — | Apr 1, 2002 | Active |
| S9150 | Evaluation by ocularist | — | Apr 1, 2002 | Active |
| S9152 | Speech therapy, re-evaluation | — | Jul 1, 2007 | Active |
| S9208 | 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) | — | Jan 1, 2002 | Active |
| S9209 | 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) | — | Jan 1, 2002 | Active |
| S9211 | 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) | — | Jan 1, 2002 | Active |
| S9212 | 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) | — | Jan 1, 2002 | Active |
| S9213 | 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) | — | Jan 1, 2002 | Active |
| S9214 | 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) | — | Jan 1, 2002 | Active |
| S9325 | 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) | — | Jan 1, 2002 | Active |
| S9326 | 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 | — | Jan 1, 2002 | Active |
| S9327 | 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 | — | Jan 1, 2002 | Active |
| S9328 | 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 | — | Jan 1, 2002 | Active |
| S9329 | 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) | — | Jan 1, 2002 | Active |
| S9330 | 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 | — | Jan 1, 2002 | Active |
| S9331 | 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 | — | Jan 1, 2002 | Active |
| S9335 | Home therapy, hemodialysis; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately), per diem | — | Jul 1, 2003 | Active |
| S9336 | 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 | — | Jan 1, 2002 | Active |
| S9338 | 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 | — | Jan 1, 2002 | Active |
| S9339 | 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 | — | Jan 1, 2002 | Active |
| S9340 | 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 | — | Jan 1, 2002 | Active |
| S9341 | 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 | — | Jan 1, 2002 | Active |
| S9342 | 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 | — | Jan 1, 2002 | Active |
| S9343 | 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 | — | Jan 1, 2002 | Active |
| S9345 | 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 | — | Jan 1, 2002 | Active |
| S9346 | 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 | — | Jan 1, 2002 | Active |
| S9347 | 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 | — | Jan 1, 2002 | Active |
| S9348 | 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 | — | Jan 1, 2002 | Active |
| S9349 | 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 | — | Jan 1, 2002 | Active |
| S9351 | 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 | — | Jan 1, 2002 | Active |
| S9353 | 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 | — | Jan 1, 2002 | Active |
| S9355 | 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 | — | Jan 1, 2002 | Active |
| S9357 | 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 | — | Jan 1, 2002 | Active |
| S9359 | 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 | — | Jan 1, 2002 | Active |
| S9361 | 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 | — | Jan 1, 2002 | Active |
| S9363 | 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 | — | Jan 1, 2002 | Active |
| S9364 | 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) | — | Jan 1, 2002 | Active |
| S9365 | 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 | — | Jan 1, 2002 | Active |
| S9366 | 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 | — | Jan 1, 2002 | Active |
| S9367 | 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 | — | Jan 1, 2002 | Active |
| S9368 | 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 | — | Jan 1, 2002 | Active |
| S9370 | 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 | — | Jan 1, 2002 | Active |
| S9372 | 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) | — | Jan 1, 2002 | Active |
| S9373 | 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) | — | Jan 1, 2002 | Active |
| S9374 | 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 | — | Jan 1, 2002 | Active |
| S9375 | 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 | — | Jan 1, 2002 | Active |
| S9376 | 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 | — | Jan 1, 2002 | Active |
| S9377 | 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 | — | Jan 1, 2002 | Active |
| S9379 | 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 diemNOC / NOS | — | Jan 1, 2002 | Active |
| S9381 | Delivery or service to high risk areas requiring escort or extra protection, per visit | — | Jan 1, 2002 | Active |
| S9401 | Anticoagulation clinic, inclusive of all services except laboratory tests, per session | — | Apr 1, 2002 | Active |
| S9430 | Pharmacy compounding and dispensing services | — | Apr 1, 2002 | Active |
| S9432 | Medical foods for non-inborn errors of metabolism | — | Oct 1, 2021 | Active |
| S9433 | Medical food nutritionally complete, administered orally, providing 100% of nutritional intake | — | Jan 1, 2009 | Active |
| S9434 | Modified solid food supplements for inborn errors of metabolism | — | Apr 1, 2003 | Active |
| S9435 | Medical foods for inborn errors of metabolism | — | Jan 1, 2001 | Active |
| S9436 | Childbirth preparation/lamaze classes, non-physician provider, per session | — | Apr 1, 2002 | Active |
| S9437 | Childbirth refresher classes, non-physician provider, per session | — | Apr 1, 2002 | Active |
| S9438 | Cesarean birth classes, non-physician provider, per session | — | Apr 1, 2002 | Active |
| S9439 | Vbac (vaginal birth after cesarean) classes, non-physician provider, per session | — | Apr 1, 2002 | Active |
| S9441 | Asthma education, non-physician provider, per session | — | Jan 1, 2002 | Active |
| S9442 | Birthing classes, non-physician provider, per session | — | Jan 1, 2002 | Active |
| S9443 | Lactation classes, non-physician provider, per session | — | Jan 1, 2002 | Active |
| S9444 | Parenting classes, non-physician provider, per session | — | Apr 1, 2002 | Active |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per sessionNOC / NOS | — | Jan 1, 2002 | Active |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per sessionNOC / NOS | — | Jan 1, 2002 | Active |
| S9447 | Infant safety (including cpr) classes, non-physician provider, per session | — | Apr 1, 2002 | Active |
| S9449 | Weight management classes, non-physician provider, per session | — | Apr 1, 2002 | Active |
| S9451 | Exercise classes, non-physician provider, per session | — | Apr 1, 2002 | Active |
| S9452 | Nutrition classes, non-physician provider, per session | — | Apr 1, 2002 | Active |
| S9453 | Smoking cessation classes, non-physician provider, per session | — | Apr 1, 2002 | Active |
| S9454 | Stress management classes, non-physician provider, per session | — | Apr 1, 2002 | Active |
| S9455 | Diabetic management program, group session | — | Jan 1, 2000 | Active |
| S9460 | Diabetic management program, nurse visit | — | Jan 1, 2000 | Active |
| S9465 | Diabetic management program, dietitian visit | — | Jan 1, 2000 | Active |
| S9470 | Nutritional counseling, dietitian visit | — | Jan 1, 2000 | Active |
| S9472 | Cardiac rehabilitation program, non-physician provider, per diem | — | Jan 1, 2000 | Active |
| S9473 | Pulmonary rehabilitation program, non-physician provider, per diem | — | Jan 1, 2000 | Active |
| S9474 | Enterostomal therapy by a registered nurse certified in enterostomal therapy, per diem | — | Jan 1, 2000 | Active |
| S9475 | Ambulatory setting substance abuse treatment or detoxification services, per diem | — | Jan 1, 2000 | Active |
| S9476 | Vestibular rehabilitation program, non-physician provider, per diem | — | Oct 1, 2003 | Active |
| S9480 | Intensive outpatient psychiatric services, per diem | — | Jan 1, 2000 | Active |
| S9482 | Family stabilization services, per 15 minutes | — | Jan 1, 2005 | Active |
| S9484 | Crisis intervention mental health services, per hour | — | Jul 1, 2002 | Active |
| S9485 | Crisis intervention mental health services, per diem | — | Jan 1, 2000 | Active |
| S9490 | 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 | — | Jul 1, 2002 | Active |
| S9494 | 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) | — | Jan 1, 2002 | Active |
| S9497 | 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 | — | Jan 1, 2002 | Active |
| S9500 | 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 | — | Jan 1, 2002 | Active |
| S9501 | 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 | — | Jan 1, 2002 | Active |