2025 HCPCS code S9366
(Active) Effective Date: N/A Revision Date: N/A Home Infusion Therapy - Home Infusion Therapy S9325-S9379 Temporary National Codes (Non-Medicare) S0012-S9999 Feed
Home infusion therapy, total parenteral nutrition (TPN); more than one liter but no more than two liters per day.
Medical necessity for TPN must be documented.Conditions such as non-functioning GI tract, short bowel syndrome, or the need for complete bowel rest justify the use of TPN. Supporting clinical documentation should clearly demonstrate the patient's inability to obtain adequate nutrition through other means.
Administering and monitoring TPN therapy, including ensuring appropriate venous access, maintaining sterile technique, and coordinating care with other healthcare professionals.
In simple words: This code covers the daily supply of 1-2 liters of standard TPN formula administered at home, including administrative, pharmacy, and care coordination services, as well as necessary supplies and equipment.Additional services like lipids, special amino acids, other drugs, and nursing visits are billed separately.
Home infusion therapy, total parenteral nutrition (TPN); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard TPN formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately).
Example 1: A patient with a non-functioning GI tract receives 1.5 liters of standard TPN formula daily via a central venous catheter at home. S9366 is billed daily for the TPN, supplies, and services. Nursing visits and any additional medications are billed separately., A patient recovering from major bowel surgery requires complete bowel rest and receives 1.8 liters of standard TPN formula daily at home.S9366 is billed for each day of TPN., A patient with Crohn's disease experiencing a severe flare-up requires TPN while their bowel heals. They receive 1.2 liters of standard TPN formula daily at home. S9366 is billed for each day they receive the TPN. If they require a lipid supplement, it's billed separately.
Medical record documentation should include the diagnosis necessitating TPN, the type and amount of TPN formula administered, the method and frequency of administration (e.g., continuous infusion via central venous catheter), and any complications or adverse reactions.
** This code covers only standard TPN formula.Any specialty formulas (e.g., lipids, specialty amino acid formulas) should be coded separately.Nursing visits are also billed separately.
- Global Days: Per diem code, billed daily for each day of TPN administration.
- Payment Status: Active
- Specialties:Home Infusion Therapy, Nutrition Support, Gastroenterology, Surgery
- Place of Service:Home