2025 HCPCS code S9374
(Active) Effective Date: N/A Revision Date: N/A Home Infusion Therapy - Hydration Therapy Home Infusion Therapy Feed
Home infusion hydration therapy; one liter per day; includes administrative, pharmacy, and coordination services; supplies and equipment; drugs and nursing visits billed separately; per diem.
Modifiers may be applicable depending on the specific circumstances of service. For instance, modifiers might be used to indicate multiple procedures or services provided within the same day. Refer to the most current guidelines for specific modifier application rules.
Medical necessity for home infusion hydration is generally established based on the patient's inability to tolerate oral fluids due to severe dehydration and the clinical need for rapid fluid repletion. This is determined by physician assessment, lab values and the potential for severe complications from dehydration if not treated promptly.Payer-specific criteria and pre-authorization may also be required.
The clinical responsibility involves the comprehensive management of home infusion hydration therapy, including patient assessment, medication reconciliation, fluid selection, insertion and maintenance of venous access, sterile technique during infusion, monitoring for adverse reactions, and discharge planning.This often requires collaboration between physicians, pharmacists, nurses and other healthcare professionals.
In simple words: This code covers the cost of giving a patient fluids intravenously at home for one day. It includes the cost of planning and managing the treatment, the pharmacy services, and all the equipment needed. The cost of the fluids themselves and any nurse visits must be billed separately.
This HCPCS code, S9374, represents home infusion therapy specifically for hydration, providing one liter of fluid per day.The code encompasses administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment for the infusion process. Importantly, the cost of the hydration fluids themselves, as well as any associated nursing visits, are billed separately using their respective codes. This code is billed on a per diem (daily) basis.
Example 1: A 70-year-old patient with severe gastroenteritis resulting in significant dehydration requires intravenous hydration at home to prevent complications. S9374 is used daily for the duration of the one-liter per day infusion., A patient recovering from surgery experiences post-operative nausea and vomiting leading to dehydration. One liter of intravenous fluids is administered daily at home. S9374 is used daily to cover the administrative, pharmacy, care coordination, and supply components of the home infusion, while the fluids themselves and nursing visits are billed separately., A patient with a chronic condition requiring continuous hydration has a one-liter-per-day home infusion regimen. This necessitates daily billing with S9374, while the fluids and nursing visits are billed separately for each day.
Detailed physician order specifying the type and amount of intravenous fluid, frequency of administration, and duration of therapy.Documentation of patient's clinical status (e.g., hydration status, electrolyte levels, vital signs) before, during and after each infusion.Records of all supplies used, medication administration, and nursing notes.Evidence of patient education and teaching regarding self-monitoring and signs of complications.
** This code is specific to hydration therapy and does not include the cost of the intravenous fluids themselves or nursing visits. Always verify payer-specific coverage and coding guidelines before submitting claims.
- Global Days: Per diem billing; billed for each day of service.
- Payment Status: Active
- Modifier TC rule: Not applicable. The technical component is included within the code.
- Specialties:Home healthcare, oncology, gastroenterology, internal medicine
- Place of Service:Home