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Medicare Data Utilities Appendices

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S9310 NURSING SERVICES AND ALL NECESSARY SUPPLIES FOR HOME PARENTERAL NUTRITION<br />

WITHOUT LIPIDS, INCLUDING PUMP RENTAL, PER DIEM (PARENTERAL SOLUTIONS NOT<br />

INCLUDED)<br />

S9395 NURSING SERVICES AND ALL NECESSARY SUPPLIES AND ADDITIVES FOR HOME IV HYDRATION<br />

(VIA GRAVITY OR PUMP), PER DIEM (HYDRATION SOLUTION AND DRUGS NOT INCLUDED)<br />

S9420 NURSING SERVICES AND ALL NECESSARY SUPPLIES FOR INTERIM HOME MAINTENANCE OF<br />

IMPLANTED VASCULAR ACCESS PORT/CATHETER/RESERVOIR, PER DIEM (FOR INTERIM<br />

MAINTENANCE OF VASCULAR ACCESS NOT CURRENTLY IN USE)<br />

S9423 NURSING SERVICES, PATIENT ASSESSMENT AND EDUCATION, FOLLOW-UP VISITS,<br />

ELECTRONIC PROGRAMMER AND EQUIPMENT (USE OF COMPUTER), PROGRAMMING OF THE PUMP,<br />

ALL NECESSARY SUPPLIES, PRODUCTS OR SERVICES FOR INTRATHECAL DRUG INFUSION, PER<br />

DIEM<br />

S9425 NURSING SERVICES AND ALL NECESSARY SUPPLIES AND ADDITIVES FOR HOME IV<br />

CHEMOTHERAPY (VIA IV PUSH, GRAVITY DRIP, STATIONARY PUMP, AMBULATORY BELT<br />

PUMP), PER DIEM (HYDRATION SOLUTION AND DRUGS NOT INCLUDED)<br />

S9435 MEDICAL FOODS FOR INBORN ERRORS OF METABOLISM<br />

S9455 DIABETIC MANAGEMENT PROGRAM, GROUP SESSION<br />

S9460 DIABETIC MANAGEMENT PROGRAM, NURSE VISIT<br />

S9465 DIABETIC MANAGEMENT PROGRAM, DIETITIAN VISIT<br />

S9470 NUTRITIONAL COUNSELING, DIETITIAN VISIT<br />

S9472 CARDIAC REHABILITATION PROGRAM, NON-PHYSICIAN PROVIDER, PER DIEM<br />

S9473 PULMONARY REHABILITATION PROGRAM, NON-PHYSICIAN PROVIDER, PER DIEM<br />

S9474 ENTEROSTOMAL THERAPY BY A REGISTERED NURSE CERTIFIED IN ENTEROSTOMAL THERAPY,<br />

PER DIEM<br />

S9475 AMBULATORY SETTING SUBSTANCE ABUSE TREATMENT OR DETOXIFICATION SERVICES, PER<br />

DIEM<br />

S9480 INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM<br />

S9485 CRISIS INTERVENTION MENTAL HEALTH SERVICES, PER DIEM<br />

S9524 NURSING SERVICES RELATED TO HOME IV THERAPY, PER DIEM<br />

S9526 SKILLED NURSING VISITS FOR BLOOD PRODUCT ADMINISTRATION, INCLUDING PUMP AND ALL<br />

RELATED SUPPLIES; PER SERVICE<br />

S9527 INSERTION OF A PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER (PICC), INCLUDING<br />

NURSING SERVICES AND ALL SUPPLIES<br />

S9528 INSERTION OF MIDLINE CENTRAL VENOUS CATHETER, INCLUDING NURSING SERVICES AND<br />

ALL SUPPLIES<br />

S9533 PAIN MANAGEMENT, INTRAVENOUS, EPIDURAL OR SUBCUTANEOUS, INCLUDING SOLUTION,<br />

EQUIPMENT RENTAL, NURSING CARE, AND SUPPLIES; PER DIEM (DRUGS NOT INCLUDED)<br />

S9535 ADMINISTRATION OF HEMATOPOIETIC HORMONES (E.G. ERYTHROPOIETIN, G-CSF, GM-CSF)<br />

OR PLATELETS, INTRAVENOUSLY, IN THE HOME SETTING, INCLUDING ALL NURSING CARE,<br />

EQUIPMENT, AND SUPPLIES; PER DIEM<br />

S9539 ADMINISTRATION OF ANTIBIOTICS, INTRAVENOUSLY, IN THE HOME SETTING, INCLUDING<br />

ALL NURSING CARE, EQUIPMENT, AND SUPPLIES; PER DIEM<br />

S9543 ADMINISTRATION OF MEDICATION, INTRAMUSCULARLY, EPIDURALLY OR SUBCUTANEOUSLY, IN<br />

THE HOME SETTING, INCLUDING ALL NURSING CARE, EQUIPMENT, AND SUPPLIES; PER DIEM<br />

S9545 ADMINISTRATION OF IMMUNE GLOBULIN, INTRAVENOUSLY, IN THE HOME SETTING,<br />

INCLUDING ALL NURSING CARE, EQUIPMENT, AND SUPPLIES; PER DIEM<br />

S9550 HOME IV THERAPY, HYDRATION FLUIDS AND ELECTROLYTES, INCLUDING ALL NURSING CARE,<br />

EQUIPMENT, AND SUPPLIES; PER DIEM<br />

S9555 ADDITIONAL HOME INFUSION THERAPY, INCLUDING ALL NURSING CARE, EQUIPMENT, AND<br />

SUPPLIES; EACH THERAPY, PER DIEM (S9555 SHOULD BE USED IN ADDITION TO THE CODE<br />

FOR THE PRIMARY THERAPY)<br />

S9990 SERVICES PROVIDED AS PART OF A PHASE II CLINICAL TRIAL<br />

S9991 SERVICES PROVIDED AS PART OF A PHASE III CLINICAL TRIAL<br />

S9992 TRANSPORTATION COSTS TO AND FROM TRIAL LOCATION AND LOCAL TRANSPORTATION COSTS<br />

(E.G., FARES FOR TAXICAB OR BUS) FOR CLINICAL TRIAL PARTICIPANT AND ONE<br />

CAREGIVER/COMPANION<br />

S9994 LODGING COSTS (E.G., HOTEL CHARGES) FOR CLINICAL TRIAL PARTICIPANT AND ONE

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