2025 HCPCS code S9379
(Active) Effective Date: N/A Revision Date: N/A Home Healthcare - Home Infusion Therapy Temporary National Codes (Non-Medicare) Feed
Covers home infusion therapy not specified by other per diem S codes; includes administrative, pharmacy, and coordination services, plus necessary supplies and equipment (excluding drugs and nursing visits).
Modifiers may apply depending on the circumstances of service.Refer to the current modifier guidelines.
Medical necessity is determined by the underlying condition requiring home infusion therapy and the inability to safely and effectively receive treatment in another setting. Documentation must justify the need for home infusion over other care settings.
The clinical responsibility involves the overall coordination and administration of the home infusion therapy, including but not limited to:ordering and dispensing of medications, managing the infusion equipment, monitoring the patient's response, coordinating with other healthcare providers, providing educational materials and ongoing support to the patient and family. This does not include the administration of the infusion itself, which would be billed separately.
In simple words: This code covers the costs of managing and providing home infusion therapy when a more specific code isn't available. It includes things like planning the treatment, getting the medicine ready, and providing the necessary equipment, but not the cost of the medicine itself or separate nursing visits.
This HCPCS code, S9379, encompasses all related services provided during home infusion therapy when no other specific per diem S code applies.It includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment.However, it explicitly excludes the cost of the infused drugs themselves and any separate nursing visits, which must be billed under separate codes.The therapy can be delivered via IV line, implanted pump, or IV push administration. This code is intended for emerging or new therapies, technologies, and services, or services newly available on a home basis.
Example 1: A patient with metastatic breast cancer receiving chemotherapy at home via an implanted port. S9379 would cover the administrative and coordination aspects of this treatment, along with the provision of supplies and equipment.The chemotherapy drugs and nursing visits would be coded separately., A patient requiring intravenous antibiotics for a severe infection. This would be a home infusion therapy situation where S9379 applies given that the infusion is not specified by a more specific code. The antibiotics and nursing care are separately billed., A patient with Crohn's disease receiving home parenteral nutrition. S9379 would cover the coordination, supplies, and equipment. The specific nutrition solution and nursing visits are coded separately.
Detailed physician order specifying the infusion therapy, daily progress notes documenting the administration and the patient's response, pharmacy records verifying the medication provided, records of all supplies and equipment used, and documentation of any care coordination activities.
** This code is specifically for infusion therapies not otherwise captured by more specific codes in the S9325-S9378 range.Payers may have specific requirements and may require pre-authorization.Always verify payer guidelines before billing.
- Global Days: Per diem code; billed for each day of service.
- Payment Status: Active (Non-Medicare)
- Modifier TC rule: Not applicable.
- Specialties:Oncology, Gastroenterology, Infectious Disease, Home Healthcare
- Place of Service:Home