2025 HCPCS code S5520
(Active) Effective Date: N/A Revision Date: N/A Supplies and Services - Home Infusion Therapy Temporary National Codes (Non-Medicare) S0012-S9999 > Home Infusion Therapy S5497-S5523 Feed
Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (PICC) line insertion.
Medical necessity for home infusion therapy and PICC line placement must be clearly documented. This typically includes the patient's diagnosis, the type and duration of therapy required, and why home infusion is a more appropriate setting than a hospital or clinic.
Home infusion therapy and PICC line insertions are typically performed by nurses or other qualified healthcare professionals.The clinician is responsible for ensuring proper insertion, maintenance, and patient education regarding the care of the PICC line.
- Temporary National Codes (Non-Medicare) S0012-S9999 > Home Infusion Therapy S5497-S5523
- Temporary National Codes (Non-Medicare) S0012-S9999
In simple words: This code covers the cost of all the supplies needed to put in a PICC line, which is a tube inserted into a vein for giving medicines or fluids at home for a long time.This includes the PICC line itself.
This code represents all the supplies, including the catheter, required for the insertion of a peripherally inserted central venous catheter (PICC) line for home infusion therapy.A PICC line is a long-term intravenous access device used for administering medications, fluids, or nutrients at home, often for periods up to a year.
Example 1: A patient with a chronic illness requiring long-term intravenous antibiotics receives a PICC line at home for ease of administration and improved quality of life., A patient undergoing chemotherapy needs a PICC line placed for convenient and safe delivery of chemotherapy drugs at home., A patient with nutritional deficiencies requires long-term parenteral nutrition and has a PICC line inserted for home administration.
Documentation should include the medical necessity for home infusion therapy and the PICC line insertion, details of the insertion procedure, type and size of the catheter used, and any complications encountered. Patient education provided should also be documented.
** HCPCS code S5520 is a temporary code, meaning it may be subject to change or deletion in the future. Always refer to the latest HCPCS codebook for the most up-to-date information. Please note there are also unrelated products with the code S5520.
- Payment Status: Active
- Specialties:Home Health, Oncology, Infusion Therapy, General Surgery, Vascular Access
- Place of Service:Home