In simple words: This code covers extra services provided by adult day care centers, billed for each day these extra services are used. These centers help adults stay independent and support their health and daily needs.

This code covers center-based day care services for adults that promote or improve their independence and support their health, nutrition, and daily living needs. These services are provided in a non-residential setting during daytime hours. This code is specifically for services not included in the regular program fee and is billed per diem.

Example 1: A patient attends an adult day care center that provides a base program of services. However, the patient requires specialized transportation services that are not included in the base program fee. The transportation service is billed separately using S5105., An adult attends a day care center and participates in the standard daily activities. The individual also requires assistance with bathing, which is an additional service not included in the standard program fee. This bathing assistance is billed using S5105 on a per diem basis., A person receiving day care services needs a specialized dietary plan due to a medical condition. The preparation of this specialized diet is not included in the standard program fee and is billed separately with S5105 for each day the service is provided.

Documentation should specify the specific service provided that is not included in the program fee and justify the medical necessity of the additional service.