2025 HCPCS code SS
(Active) Effective Date: N/A Revision Date: N/A Modifiers - Modifiers for HCPCS codes hcpcs-modifiers > Home infusion services provided in the infusion suite of the iv therapy provider Feed
Home infusion services provided in the infusion suite of the IV therapy provider.
Yes, other modifiers may be applicable in addition to SS, such as SD if the infusion is administered by a specially trained nurse.
Medical necessity for the infusion therapy itself should be documented, along with the rationale for providing the service in the infusion suite rather than in the patient's home.
The IV therapy provider is responsible for preparing the infusion equipment, administering the infusion, and providing all necessary supplies within their designated infusion suite.
In simple words: This code is used when a patient receives infusion therapy at a special infusion center run by the provider, instead of at home. It means the service happened at the provider's infusion suite, and they took care of everything, like setting up the equipment and giving the medicine.
Indicates that the home infusion services were provided in the infusion suite of the IV therapy provider. The provider prepares the infusion equipment, administers the infusion, and supplies are included, using the provider’s own infusion suite.A typical infusion may involve the provider using an intravenous line connected to a small mechanical pump to administer the drug at the prescribed rate for the prescribed length of time. The time recorded is for the duration of the patient service in the suite.
Example 1: A patient receives an intravenous infusion of antibiotics at the provider's infusion suite., A patient with a PICC line goes to the provider's infusion suite for a scheduled chemotherapy treatment., A patient receives hydration therapy at the provider's infusion suite due to dehydration.
Documentation should include the type of infusion therapy provided, the duration of the infusion, the medications and supplies used, and a record of the patient's time spent in the infusion suite.
** This modifier is not covered by Medicare, but some other payers may allow claims to be processed under the home care benefit, potentially without a copayment.
- Payment Status: Not covered by Medicare, some other payers may allow.
- Specialties:Infusion Therapy, Oncology,Home Health
- Place of Service:Office