In simple words: This code covers the daily management and coordination of at-home infusions of antibiotic, antiviral, or antifungal medications. It includes services like setting up the treatment, getting the medication ready, and making sure everything runs smoothly. It does not include the cost of the drugs themselves or any nursing visits.

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)

Example 1: A patient receives daily IV antibiotics at home for a severe skin infection. Code S9494 is used for the overall coordination of the home infusion therapy, while separate codes are used for the antibiotic itself and any nursing visits for administration., A patient with a compromised immune system requires long-term antiviral therapy administered at home. S9494 covers the administrative, pharmacy, and coordination services, excluding the antiviral drug and nursing services which are billed separately., A patient receives antifungal infusions at home for a systemic fungal infection. S9494 is billed for each day of the home infusion therapy services, separate from the antifungal medication and any necessary nursing visits.

Documentation should include the prescription for the infused medication, the plan of care for home infusion therapy, and records of all services provided, including administrative, pharmacy, and care coordination. Nursing visit documentation should be recorded separately. If applicable, documentation supporting the medical necessity of home infusion should also be included.