In simple words: This code covers the behind-the-scenes services to provide medicine through a needle or tube at home for infections, every four hours. It includes the planning, pharmacy preparation, and coordination of care, along with any necessary supplies.The medicine itself and nurse visits are billed separately.

This code covers the administrative, professional pharmacy, and care coordination services associated with home infusion therapy for antibiotic, antiviral, or antifungal drugs administered every four hours.It includes all necessary supplies and equipment for the therapy.The drug itself and nursing visits for administration are billed separately.

Example 1: A patient with a severe bone infection requires long-term intravenous antibiotics every 4 hours, administered at home., A patient with a compromised immune system develops a viral infection requiring antiviral medication every 4 hours via a catheter at home., A patient with a persistent fungal infection receives antifungal medication every 4 hours via home infusion.

Documentation should include the physician's order for home infusion therapy, the type and frequency of medication, the pharmacy compounding record, the plan of care, and any instructions for self-administration or nurse visits.The diagnosis necessitating home infusion should also be clearly documented.

** This code is specific to the administrative, pharmacy, and coordination aspects of home infusion therapy.It does not include the cost of the drug, supplies, equipment, or nursing services, which must be coded separately. Be sure to confirm coverage and reimbursement policies with individual payers, as S-codes are not universally recognized.