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2025 HCPCS code S9376

Intravenous hydration therapy, per diem, for dehydration.

Medicare does not accept S codes.This code is used by Medicaid and some other payers. Ensure appropriate documentation for medical necessity and adherence to payer-specific guidelines.

Modifiers may apply depending on payer requirements. Consult specific payer guidelines for modifier usage.

Medical necessity is established by the presence of dehydration secondary to a documented medical condition that necessitates intravenous fluid administration, such as severe vomiting, diarrhea, or other conditions causing fluid loss. Patient must be homebound or unable to tolerate oral fluid intake adequately.

Home infusion pharmacy; coordination of care, supply of fluids and equipment, sterile administration, monitoring of patient's response to therapy.

IMPORTANT:For additional coding options for home infusion of IV hydration, consider S9373 to S9377. For related provider visits (e.g., nursing visits), consider codes like 99601 and 99602.

In simple words: This code covers the cost of daily intravenous fluids given at home to treat dehydration from things like diarrhea or vomiting.It includes the fluids, the pharmacy services, and the equipment.The fluids are given through a tube already in a vein.

This HCPCS code represents intravenous hydration therapy provided at home on a per-diem basis.It covers the supply of 2-3 liters of intravenous fluids daily for treating dehydration resulting from conditions such as diarrhea or vomiting. The code includes administrative and professional pharmacy services, care coordination, and necessary supplies and equipment.The patient typically uses a pre-existing central venous catheter to minimize vein damage. Sterile techniques are crucial to prevent infection.The typical provider is a home infusion pharmacy.

Example 1: A patient with severe gastroenteritis resulting in significant dehydration requires home IV hydration for three consecutive days.Code S9376 would be reported for each day of treatment., A patient recovering from surgery experiences postoperative nausea and vomiting, leading to dehydration. Home IV hydration is initiated, and S9376 is reported for the duration of the therapy (e.g., 5 days)., A patient with a chronic condition (e.g., cystic fibrosis) requiring regular hydration support is provided with home IV hydration using this code reported on a daily basis as needed.

Physician's order specifying the type and volume of fluids, frequency of administration, and duration of therapy.Documentation should include the patient's clinical status, indication for IV hydration, assessment of hydration status before, during, and after the infusion, verification of catheter placement and maintenance, and any adverse events.

** This code is specific to home infusion therapy for dehydration and should not be used for other intravenous treatments.Always refer to payer-specific guidelines and coverage policies for reimbursement.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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