HCPCS Codes - Medical Procedures, Supplies & DME Codes - s9 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("s9" Codes):- S9001 home uterine monitor associated nursing services HCPCS Code Code
- S9002 Intra-vaginal motion sensor system, provides biofeedback for pelvic floor muscle rehabilitation device HCPCS Code Code
- S9007 ultrafiltration monitor HCPCS Code Code
- S9015 automated eeg monitoring HCPCS Code Code
- S9022 DIGITAL SUBTRACTION ANGIOGRA HCPCS Code Code
- S9024 paranasal sinus ultrasound HCPCS Code Code
- S9025 omnicardiogramcardiointegram HCPCS Code Code
- S9034 extracorporeal shockwave lithotripsy gall stones if HCPCS Code Code
- S9055 procuren growth factor preparation promote wound HCPCS Code Code
- S9056 coma stimulation per diem HCPCS Code Code
- S9061 home administration aerosolized drug therapy eg HCPCS Code Code
- S9075 smoking cessation treatment HCPCS Code Code
- S9083 global fee urgent care centers HCPCS Code Code
- S9088 services provided an urgent care center HCPCS Code Code
- S9090 vertebral axial decompression per session HCPCS Code Code
- S9092 canolith repositioning per visit HCPCS Code Code
- S9097 home visit wound care HCPCS Code Code
- S9098 home visit phototherapy services eg bililite HCPCS Code Code
- S9109 congestive heart failure telemonitoring equipment rental HCPCS Code Code
- S9110 Telemonitoring of patient in their home, including HCPCS Code Code
- S9117 back school per visit HCPCS Code Code
- S9122 home health aide certified nurse assistant HCPCS Code Code
- S9123 nursing care home registered nurse per HCPCS Code Code
- S9124 nursing care home licensed practical nurse HCPCS Code Code
- S9125 respite care home per diem HCPCS Code Code
- S9126 hospice care home per diem HCPCS Code Code
- S9127 social work visit home per diem HCPCS Code Code
- S9128 speech therapy home per diem HCPCS Code Code
- S9129 occupational therapy home per diem HCPCS Code Code
- S9131 physical therapy home per diem HCPCS Code Code
- S9140 diabetic management program followup visit nonmd HCPCS Code Code
- S9141 diabetic management program followup visit md HCPCS Code Code
- S9145 insulin pump initiation instruction initial use HCPCS Code Code
- S9150 evaluation ocularist HCPCS Code Code
- S9152 SPEECH THERAPY, RE-EVAL HCPCS Code Code
- S9208 home management preterm labor including administrative HCPCS Code Code
- S9209 home management preterm premature rupture membranes HCPCS Code Code
- S9211 home management gestational hypertension includes administrative HCPCS Code Code
- S9212 home management postpartum hypertension includes administrative HCPCS Code Code
- S9213 home management preeclampsia includes administrative services HCPCS Code Code
- S9214 home management gestational diabetes includes administrative HCPCS Code Code
- S9325 home infusion therapy pain management infusion HCPCS Code Code
- S9326 home infusion therapy continuous twentyfour hours HCPCS Code Code
- S9327 home infusion therapy intermittent less than HCPCS Code Code
- S9328 home infusion therapy implanted pump pain HCPCS Code Code
- S9329 home infusion therapy chemotherapy infusion administrative HCPCS Code Code
- S9330 home infusion therapy continuous twentyfour hours HCPCS Code Code
- S9331 home infusion therapy intermittent less than HCPCS Code Code
- S9335 home therapy hemodialysis administrative services professional HCPCS Code Code
- S9336 home infusion therapy continuous anticoagulant infusion HCPCS Code Code
- S9338 home infusion therapy immunotherapy administrative services HCPCS Code Code
- S9339 home therapy peritoneal dialysis administrative services HCPCS Code Code
- S9340 home therapy enteral nutrition administrative services HCPCS Code Code
- S9341 home therapy enteral nutrition via gravity HCPCS Code Code
- S9342 home therapy enteral nutrition via pump HCPCS Code Code
- S9343 home therapy enteral nutrition via bolus HCPCS Code Code
- S9345 home infusion therapy antihemophilic agent infusion HCPCS Code Code
- S9346 home infusion therapy alpha1proteinase inhibitor eg HCPCS Code Code
- S9347 home infusion therapy uninterrupted longterm controlled HCPCS Code Code
- S9348 home infusion therapy sympathomimeticinotropic agent infusion HCPCS Code Code
- S9349 home infusion therapy tocolytic infusion therapy HCPCS Code Code
- S9351 home infusion therapy continuous antiemetic infusion HCPCS Code Code
- S9353 home infusion therapy continuous insulin infusion HCPCS Code Code
- S9355 home infusion therapy chelation therapy administrative HCPCS Code Code
- S9357 home infusion therapy enzyme replacement intravenous HCPCS Code Code
- S9359 home infusion therapy antitumor necrosis factor HCPCS Code Code
- S9361 home infusion therapy diuretic intravenous therapy HCPCS Code Code
- S9363 home infusion therapy antispasmotic intravenous therapy HCPCS Code Code
- S9364 home infusion therapy total parenteral nutrition HCPCS Code Code
- S9365 home infusion therapy total parenteral nutrition HCPCS Code Code
- S9366 home infusion therapy total parenteral nutrition HCPCS Code Code
- S9367 home infusion therapy total parenteral nutrition HCPCS Code Code
- S9368 home infusion therapy total parenteral nutrition HCPCS Code Code
- S9370 home therapy intermittent antiemetic injection therapy HCPCS Code Code
- S9372 home therapy intermittent anticoagulant injection therapy HCPCS Code Code
- S9373 home infusion therapy hydration therapy administrative HCPCS Code Code
- S9374 home infusion therapy hydration therapy one HCPCS Code Code
- S9375 home infusion therapy hydration therapy more HCPCS Code Code
- S9376 home infusion therapy hydration therapy more HCPCS Code Code
- S9377 home infusion therapy hydration therapy more HCPCS Code Code
- S9379 home infusion therapy infusion therapy not HCPCS Code Code
- S9381 delivery service high risk areas requiring HCPCS Code Code
- S9401 anticoagulation clinic inclusive all services except HCPCS Code Code
- S9430 pharmacy compounding dispensing services HCPCS Code Code
- S9432 Medical foods for non-inborn errors of metabolism HCPCS Code Code
- S9433 MEDICAL FOOD NUTRITIONALLY COMPLETE, ADMINISTERED ORALLY, PROVIDING HCPCS Code Code
- S9434 modified solid food supplements inborn errors HCPCS Code Code
- S9435 medical foods inborn errors metabolism HCPCS Code Code
- S9436 childbirth preparationlamaze classes nonphysician provider per HCPCS Code Code
- S9437 childbirth refresher classes nonphysician provider per HCPCS Code Code
- S9438 cesarean birth classes nonphysician provider per HCPCS Code Code
- S9439 vbac vaginal birth after cesarean classes HCPCS Code Code
- S9441 asthma education nonphysician provider per session HCPCS Code Code
- S9442 birthing classes nonphysician provider per session HCPCS Code Code
- S9443 lactation classes nonphysician provider per session HCPCS Code Code
- S9444 parenting classes nonphysician provider per session HCPCS Code Code
- S9445 patient education not otherwise classified nonphysician HCPCS Code Code
- S9446 patient education not otherwise classified nonphysician HCPCS Code Code
- S9447 infant safety including cpr classes nonphysician HCPCS Code Code
- S9449 weight management classes nonphysician provider per HCPCS Code Code
- S9451 exercise classes nonphysician provider per session HCPCS Code Code
- S9452 nutrition classes nonphysician provider per session HCPCS Code Code
- S9453 smoking cessation classes nonphysician provider per HCPCS Code Code
- S9454 stress management classes nonphysician provider per HCPCS Code Code
- S9455 diabetic management program session HCPCS Code Code
- S9460 diabetic management program nurse visit HCPCS Code Code
- S9465 diabetic management program dietitian visit HCPCS Code Code
- S9470 nutritional counseling dietitian visit HCPCS Code Code
- S9472 cardiac rehabilitation program nonphysician provider per HCPCS Code Code
- S9473 pulmonary rehabilitation program nonphysician provider per HCPCS Code Code
- S9474 enterostomal therapy a registered nurse certified HCPCS Code Code
- S9475 ambulatory setting substance abuse treatment detoxification HCPCS Code Code
- S9476 vestibular rehabilitation program nonphysician provider per HCPCS Code Code
- S9480 intensive outpatient psychiatric services per diem HCPCS Code Code
- S9482 family stabilization services per 15 minutes HCPCS Code Code
- S9484 crisis intervention mental health services per HCPCS Code Code
- S9485 crisis intervention mental health services per HCPCS Code Code
- S9490 home infusion therapy corticosteroid infusion administrative HCPCS Code Code
- S9494 home infusion therapy antibiotic antiviral antifungal HCPCS Code Code
- S9497 home infusion therapy antibiotic antiviral antifungal HCPCS Code Code
- S9500 home infusion therapy antibiotic antiviral antifungal HCPCS Code Code
- S9501 home infusion therapy antibiotic antiviral antifungal HCPCS Code Code
- S9502 home infusion therapy antibiotic antiviral antifungal HCPCS Code Code
- S9503 home infusion therapy antibiotic antiviral antifungal HCPCS Code Code
- S9504 home infusion therapy antibiotic antiviral antifungal HCPCS Code Code
- S9529 routine venipuncture collection specimens single home HCPCS Code Code
- S9537 home therapy hematopoietic hormone injection therapy HCPCS Code Code
- S9538 home transfusion blood products administrative services HCPCS Code Code
- S9542 home injectable therapy not otherwise classified HCPCS Code Code
- S9558 home injectable therapy growth hormone including HCPCS Code Code
- S9559 home injectable therapy interferon including administrative HCPCS Code Code
- S9560 home injectable therapy hormonal therapy eg HCPCS Code Code
- S9562 home injectable therapy palivizumab including administrative HCPCS Code Code
- S9563 Home injectable therapy, immunotherapy, including administrative services, professional pharmacy services, care coordination, and all necessary Code
- S9590 home therapy irrigation therapy eg sterile HCPCS Code Code
- S9810 home therapy professional pharmacy services provision HCPCS Code Code
- S9900 services authorized christian science practitioner process HCPCS Code Code
- S9901 Services by a journal-listed christian science nurse, HCPCS Code Code
- S9960 Ambulance service, conventional air services, nonemergency transport, HCPCS Code Code
- S9961 Ambulance service, conventional air service, nonemergency transport, HCPCS Code Code
- S9970 health club membership annual HCPCS Code Code
- S9975 transplant related lodging meals transportation per HCPCS Code Code
- S9976 lodging per diem not otherwise classified HCPCS Code Code
- S9977 meals per diem not otherwise HCPCS Code Code
- S9981 medical records copying fee administrative HCPCS Code Code
- S9982 medical records copying fee per page HCPCS Code Code
- S9986 not medically necessary service patient is HCPCS Code Code
- S9988 services provided as part a phase HCPCS Code Code
- S9989 services provided outside united states america HCPCS Code Code
- S9990 services provided as part a phase HCPCS Code Code
- S9991 services provided as part a phase HCPCS Code Code
- S9992 transportation costs trial location local transportation HCPCS Code Code
- S9994 lodging costs eg hotel charges clinical HCPCS Code Code
- S9996 meals clinical trial participant one caregivercompanion HCPCS Code Code
- S9999 sales tax HCPCS Code Code
Back to list of HCPCS Procedure, Supply & DME Codes
HCPCS Medical Codes & Code Modifiers
(HCPCS is commonly pronounced Hick-Picks.)Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.
In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.
(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)
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