2025 HCPCS code S9375
(Active) Effective Date: N/A Revision Date: N/A Pharmacy Services - Intravenous Hydration Therapy Home Infusion Therapy Feed
Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, including administrative and professional pharmacy services, care coordination, and necessary supplies and equipment (drugs and nursing visits coded separately), per diem.
Modifiers may be applicable depending on the circumstances of service (e.g., 22 for increased procedural services, 52 for reduced services, or others). Consult appropriate modifier guidelines.
Medical necessity for home infusion hydration therapy is established when the patient requires a significant volume of fluids to correct dehydration that cannot be effectively managed through oral rehydration or requires immediate response.The need should be documented, clearly indicating that oral rehydration is insufficient or contraindicated due to underlying conditions.
Home infusion pharmacy, possibly in collaboration with a physician or nurse for patient assessment and monitoring.
In simple words: This code covers the daily cost of home intravenous hydration therapy (IV fluids) given through a catheter, if the patient needs more than one liter but less than two liters of fluids daily.The cost includes the pharmacy's work, coordinating care, and the supplies.The doctor's visits and medication are billed separately.
This HCPCS code represents home infusion therapy for hydration, specifically covering a daily volume exceeding one liter but not exceeding two liters.The code encompasses administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment.Importantly, drugs administered and nursing visits are coded separately. The billing is per diem, meaning it's billed for each day of therapy.The typical provider is a home infusion pharmacy.The infusion is typically administered through a pre-existing central venous catheter to minimize vein damage and maintain sterility to prevent infection. This service is indicated for dehydration secondary to conditions like diarrhea or vomiting.
Example 1: A patient with severe gastroenteritis experiences significant dehydration.Home intravenous hydration therapy is initiated, requiring more than one but less than two liters of fluid daily. S9375 is billed each day of treatment.Nursing visits and medications are reported separately., A patient with a history of chronic diarrhea requires ongoing home hydration therapy.They receive more than one liter, but less than two liters of fluids per day administered via a central venous catheter.S9375 is billed daily for the infusion and associated services; the catheter insertion would be a separate code.Medication is billed separately. Regular nursing visits are also billed under appropriate codes., A patient recovering from major surgery experiences post-operative nausea and vomiting, leading to dehydration.The patient receives intravenous home hydration therapy exceeding one liter but not more than two liters daily, utilizing a pre-existing central venous line. S9375 is billed each day of the therapy. Medications administered concurrently are reported using separate codes.
* Physician order for home infusion therapy.* Detailed documentation of the patient's hydration status (e.g., intake and output, electrolyte levels).* Documentation specifying the volume of fluids infused daily.* Documentation of the patient's response to therapy.* Evidence of the need for home infusion (e.g., inability to tolerate oral fluids).* Documentation of the central venous catheter insertion, if applicable.* Records of administration of other medications and related procedures (billed separately).
** Medicare does not cover this HCPCS code.Medicaid and other payers may have specific requirements for coverage and billing. This code does not include the cost of the drugs infused.Always cross-reference with payer-specific guidelines.
- Global Days: Per diem billing; each day of therapy is billed separately.
- Payment Status: Active (but not covered by Medicare)
- Modifier TC rule: Not applicable
- Specialties:Pharmacy, Home Health Care
- Place of Service:Home