S5497 – Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)
HCPCS codeS5497
- Long description
- Home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
- Short description
- Hit cath care noc
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
INot payable by Medicare- BETOS category
Z2Undefined codes- Added
- January 1, 2002
- Last change
- January 1, 2002 – No change
Frequently asked questions
What is HCPCS code S5497?
S5497 is a HCPCS Level II code for home infusion therapy, catheter care / maintenance, not otherwise classified; includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem.
Does Medicare cover S5497?
The HCPCS file lists coverage code I: Not payable by Medicare. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby S codes
- S5165 – Home modifications; per service
- S5170 – Home delivered meals, including preparation; per meal
- S5175 – Laundry service, external, professional; per order
- S5180 – Home health respiratory therapy, initial evaluation
- S5181 – Home health respiratory therapy, nos, per diem
- S5185 – Medication reminder service, non-face-to-face; per month
- S5190 – Wellness assessment, performed by non-physician
- S5199 – Personal care item, nos, each
- S5498 – Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem
- S5501 – Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
- S5502 – Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use)
- S5517 – Home infusion therapy, all supplies necessary for restoration of catheter patency or declotting
- S5518 – Home infusion therapy, all supplies necessary for catheter repair
- S5520 – Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion
- S5521 – Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion
- S5522 – Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included)
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.