HCPCS Range Home Infusion Therapy

• 1 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 ( S5497 )

• 2 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 ( S5498 )

• 3 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 ( S5501 )

• 4 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) ( S5502 )

• 5 Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting ( S5517 )

• 6 Home infusion therapy, all supplies necessary for catheter repair ( S5518 )

• 7 Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (PICC) line insertion ( S5520 )

• 8 Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion ( S5521 )

• 9 Home infusion therapy, insertion of peripherally inserted central venous catheter (PICC), nursing services only (no supplies or catheter included) ( S5522 )

• 10 Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included) ( S5523 )