HCPCS Range Various Home Care Services

• 1 Home infusion therapy, routine service of infusion device (e.g., pump maintenance) ( S5035 )

• 2 Home infusion therapy, repair of infusion device (e.g., pump repair) ( S5036 )

• 3 Day care services, adult; per 15 minutes ( S5100 )

• 4 Day care services, adult; per half day ( S5101 )

• 5 Day care services, adult; per diem ( S5102 )

• 6 Day care services, center-based; services not included in program fee, per diem ( S5105 )

• 7 Home care training to home care client, per 15 minutes ( S5108 )

• 8 Home care training to home care client, per session ( S5109 )

• 9 Home care training, family; per 15 minutes ( S5110 )

• 10 Home care training, family; per session ( S5111 )

• 11 Home care training, non-family; per 15 minutes ( S5115 )

• 12 Home care training, non-family; per session ( S5116 )

• 13 Chore services; per 15 minutes ( S5120 )

• 14 Chore services; per diem ( S5121 )

• 15 Attendant care services; per 15 minutes ( S5125 )

• 16 Attendant care services; per diem ( S5126 )

• 17 Homemaker service, NOS; per 15 minutes ( S5130 )

• 18 Homemaker service, NOS; per diem ( S5131 )

• 19 Companion care, adult (e.g., IADL/ADL); per 15 minutes ( S5135 )

• 20 Companion care, adult (e.g., IADL/ADL); per diem ( S5136 )

• 21 Foster care, adult; per diem ( S5140 )

• 22 Foster care, adult; per month ( S5141 )

• 23 Foster care, therapeutic, child; per diem ( S5145 )

• 24 Foster care, therapeutic, child; per month ( S5146 )

• 25 Unskilled respite care, not hospice; per 15 minutes ( S5150 )

• 26 Unskilled respite care, not hospice; per diem ( S5151 )

• 27 Emergency response system; installation and testing ( S5160 )

• 28 Emergency response system; service fee, per month (excludes installation and testing) ( S5161 )

• 29 Emergency response system; purchase only ( S5162 )

• 30 Home modifications; per service ( S5165 )

• 31 Home delivered meals, including preparation; per meal ( S5170 )

• 32 Laundry service, external, professional; per order ( S5175 )

• 33 Home health respiratory therapy, initial evaluation ( S5180 )

• 34 Home health respiratory therapy, NOS, per diem ( S5181 )

• 35 Medication reminder service, non-face-to-face; per month ( S5185 )

• 36 Wellness assessment, performed by non-physician ( S5190 )

• 37 Personal care item, NOS, each ( S5199 )