Find policies, billing codes, payers, states, and providers
HCPCS S5502: Home Infusion Catheter Care for Implanted Access Device
HCPCS Level II code S5502 represents a per-diem home infusion therapy service for catheter care and maintenance of an implanted vascular access device, covering administrative, pharmacy professional, care coordination, and supply elements while excluding drugs and nursing visits. Nationally, this code matters because home infusion and vascular access maintenance are central to outpatient delivery of complex therapies, support patient safety, and influence total cost of care for patients with implanted devices. Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn how S5502 is defined clinically and operationally, which services are bundled versus billed separately, and typical sites of service and clinical context for use. The publication provides benchmarks and coding context where available, explains common billing practices and exclusions (noting that drugs and nursing visits are coded separately), and highlights policy and coverage considerations that affect authorization and reimbursement workflows. Data not provided in the input (such as payor-specific rates, associated taxonomies, and ICD-10 mappings) are identified as unavailable. This summary is intended to support clinical, billing, and policy stakeholders seeking a concise national overview of S5502 and its role in home infusion care.
Customize your policy alerts
Sign up for hcpcs S5502 policy alerts
Get alerted when payer policies referencing S5502 are released or updated.
Monitor payer policy activity
Billing Code Overview
HCPCS Level II code S5502 describes home infusion therapy catheter care and maintenance for an implanted vascular access device. The code covers a per-diem service that includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment related to interim maintenance of an implanted access device that is not currently being used. Drugs and nursing visits are not included and are coded separately.
Service type: Home infusion therapy — catheter care/maintenance for implanted access device
Typical site of service: Patient home (home infusion setting) and other non-acute outpatient settings where home infusion services are coordinated