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HCPCS Code for 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) S9494

HCPCS code S9494 for 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) as maintained by CMS falls under Home Therapy Services .

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Official Long Descriptor

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)

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Have a question about HCPCS Code S9494 ? Start a discussion here
Help with billing Anthem and Tricare S9494 anthem home infusion tricare
I'm hoping someone has an idea what we can do to override a problem we are having between Anthem BCBS and Tricare for Life. We are an infectious disease clinic and many of our patients opt to infuse ... [ Read More ]
96365 with POS 12
I can't speak to your BCBS plan's rules or their policies on how to bill home infusions (and also without seeing your contract it's hard to give you a definitive answer on this), but under Medicare ru... [ Read More ]
96365 with POS 12
we have issue w/ BCBS as well. Our contract includes our per diem for home and office IV infusion. By contract, we can use 96365 or S9494. We were using the 96365 with a POS 12 and one claim for one ... [ Read More ]
Home Infusion
I have a question...what type of Infusion are you supplying? I work in an Infectious disease practice and we provide IV antibiotics for pt's to self-infuse via PICC line @ home and the "per diem" code... [ Read More ]
Home Infusion Therapy - Help with Coding
You can't bill self-infusion services on a Medicare patient. Medicare doesn't cover self-infusions and they don't recognize S codes. There is a modifier you should be able to use that is basically t... [ Read More ]
Billing admin costs for IV self infusion
Our infectious disease practice supervises patient self-infusion of IV antibiotics. The patient is seen in the office once a week by a doctor or PA and we bill 99213 (etc.) plus the lab (also drawn w... [ Read More ]
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