HCPCS Level II code S9474 represents enterostomal therapy delivered by a registered nurse certified in enterostomal therapy, billed on a per diem basis. This code captures specialized nursing services for patients with stomas, complex wound or ostomy care needs, and related education and management. Nationally, accurate use of S9474 supports appropriate recognition of specialized nursing time and expertise across facility and home health settings, with implications for payer coverage and care coordination.

Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of how the code is defined, common payer coverage considerations, and the clinical context in which enterostomal nursing is typically provided. The publication summarizes available benchmarking and policy-relevant points and highlights areas where documentation and coding specificity affect reimbursement and care delivery. Where input data is incomplete, the document notes "Data not available in the input." This summary is intended for national audiences including health plan analysts, revenue cycle professionals, and clinical managers seeking a clear reference for HCPCS Level II code S9474.