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S5130
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Procedure Codes
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HCPCS Level II
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Temporary National Codes (Non-Medicare)
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S5000–S5571
S5130
Homemaker service, nos; per 15 minutes
Back
S5000
Prescription drug, generic
→
S5001
Prescription drug, brand name
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S5010
5% dextrose and 0.45% normal saline, 1000 ml
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S5012
5% dextrose with potassium chloride, 1000 ml
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S5013
5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml
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S5014
5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml
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S5035
Home infusion therapy, routine service of infusion device (e.g., pump maintenance)
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S5036
Home infusion therapy, repair of infusion device (e.g., pump repair)
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S5100
Day care services, adult; per 15 minutes
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S5101
Day care services, adult; per half day
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S5102
Day care services, adult; per diem
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S5105
Day care services, center-based; services not included in program fee, per diem
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S5108
Home care training to home care client, per 15 minutes
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S5109
Home care training to home care client, per session
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S5110
Home care training, family; per 15 minutes
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S5111
Home care training, family; per session
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S5115
Home care training, non-family; per 15 minutes
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S5116
Home care training, non-family; per session
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S5120
Chore services; per 15 minutes
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S5121
Chore services; per diem
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S5125
Attendant care services; per 15 minutes
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S5126
Attendant care services; per diem
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S5130
Homemaker service, nos; per 15 minutes
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S5131
Homemaker service, nos; per diem
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S5135
Companion care, adult (e.g., iadl/adl); per 15 minutes
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S5136
Companion care, adult (e.g., iadl/adl); per diem
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S5140
Foster care, adult; per diem
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S5141
Foster care, adult; per month
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S5145
Foster care, therapeutic, child; per diem
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S5146
Foster care, therapeutic, child; per month
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S5150
Unskilled respite care, not hospice; per 15 minutes
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S5151
Unskilled respite care, not hospice; per diem
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S5160
Emergency response system; installation and testing
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S5161
Emergency response system; service fee, per month (excludes installation and testing)
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S5162
Emergency response system; purchase only
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S5165
Home modifications; per service
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S5170
Home delivered meals, including preparation; per meal
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S5175
Laundry service, external, professional; per order
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S5180
Home health respiratory therapy, initial evaluation
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S5181
Home health respiratory therapy, nos, per diem
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S5185
Medication reminder service, non-face-to-face; per month
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S5190
Wellness assessment, performed by non-physician
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S5199
Personal care item, nos, each
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S5497
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
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S5498
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
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S5501
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
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S5502
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)
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S5517
Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting
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S5518
Home infusion therapy, all supplies necessary for catheter repair
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S5520
Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion
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S5521
Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion
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S5522
Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included)
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S5523
Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)
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S5550
Insulin, rapid onset, 5 units
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S5551
Insulin, most rapid onset (lispro or aspart); 5 units
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S5552
Insulin, intermediate acting (nph or lente); 5 units
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S5553
Insulin, long acting; 5 units
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S5560
Insulin delivery device, reusable pen; 1.5 ml size
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S5561
Insulin delivery device, reusable pen; 3 ml size
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S5565
Insulin cartridge for use in insulin delivery device other than pump; 150 units
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S5566
Insulin cartridge for use in insulin delivery device other than pump; 300 units
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S5570
Insulin delivery device, disposable pen (including insulin); 1.5 ml size
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S5571
Insulin delivery device, disposable pen (including insulin); 3 ml size
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Procedure code
CODABLE
S5130
Homemaker service, nos; per 15 minutes
Part
HCPCS Level II
S
Temporary National Codes (Non-Medicare)
S5
S5000–S5571
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.
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