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2025 HCPCS code S9327

Home infusion therapy, intermittent, less than 24 hours, pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem.

Use S codes to represent drugs, services, and supplies that do not possess a permanent national code. However, the private sector and Medicaid require these codes to implement policies, programs, or claims processing and meet their particular needs. These codes are not payable by Medicare. Some S codes represent procedures that are otherwise reportable with CPT codes. However, CPT codes involve the reporting of each component of a diagnostic test, whereas S codes include all components of a procedure.

Medical necessity should be clearly documented and must meet the payer's criteria. The documentation must support the need for intermittent infusion therapy for pain management, and that less invasive methods have been unsuccessful or inappropriate.

Report this code for intermittent home infusion therapy services for the management of pain.Infusion refers to the administration of medication by gravity drainage through a catheter. Patients who need end-of-life pain relief, post-operative pain management, or treatment for other types of chronic pain to improve their quality of life may require this type of therapy.

IMPORTANT:For continuous home infusion therapy for pain management, see code S9326. For implanted pump home infusion therapy for pain management, see code S9328.

In simple words: This code covers daily home infusion therapy for pain management provided in intervals of less than 24 hours. It includes all services, supplies, and equipment except the medication and nurse visits, which are billed separately.

This code covers all aspects of daily intermittent (less than 24 hours) home infusion therapy services for pain management, except for drugs and nursing visits, which are coded separately. It includes administrative services, professional pharmacy services, care coordination, and all medically necessary supplies and equipment. This code is used for each day of intermittent home infusion therapy service.

Example 1: A patient receiving intermittent home infusion therapy for post-surgical pain management for 12 hours per day., A patient with chronic pain receiving intermittent home infusion therapy for pain relief for less than 24 hours per day., A hospice patient receiving intermittent home infusion therapy for end-of-life pain management.

Documentation should support the medical necessity for intermittent home infusion therapy, the duration and frequency of the therapy, and all services, supplies, and equipment provided, except the drugs and nursing visits.

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