Home infusion therapy, intermittent (less than twenty-four hours) pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately)...
HCPCS code
Name of the Procedure:
Home Infusion Therapy, Intermittent (Less than Twenty-Four Hours) Pain Management Infusion; Administrative Services, Professional Pharmacy Services, Care Coordination, and All Necessary Supplies and Equipment
HCPCS Code: S9327
Summary
Home infusion therapy for intermittent pain management involves delivering pain medication directly into the bloodstream using an infusion pump. This service includes administrative and professional pharmacy services, care coordination, and all needed supplies/equipment. Medications and nursing visits are billed separately.
Purpose
This therapy primarily addresses chronic or severe pain that cannot be adequately managed with oral medications. It aims to improve quality of life by managing pain effectively and allowing patients to remain in their homes while receiving treatment.
Indications
- Chronic pain conditions (e.g., cancer pain, neuropathic pain)
- Severe acute pain episodes managed at home
- Patients requiring frequent, but not continuous, pain medication infusions
Preparation
- Patients may be advised to fast or avoid certain foods/medications before starting therapy.
- Baseline assessments such as blood tests or imaging may be conducted to tailor the pain management plan.
Procedure Description
- Initial Consultation: The healthcare team evaluates the patient's medical history and current condition.
- Equipment Setup: An infusion pump is provided along with necessary supplies (e.g., tubing, needles, disinfectants).
- Medication Preparation: A pharmacist prepares the prescribed medication dosage.
- Infusion Administration: A nurse sets up the pump and administers the infusion. Training on using the equipment and recognizing potential issues is provided.
- Monitoring and Support: The healthcare team monitors the patient's response remotely, ensuring proper pain control, and coordinates care.
Duration
Each infusion session typically lasts less than twenty-four hours. The exact duration varies based on the medication and individual patient needs.
Setting
The procedure is performed in the patient's home, providing convenience and comfort.
Personnel
- Pharmacists
- Infusion nurses
- Pain management specialists
- Care coordinators
Risks and Complications
- Common risks: Minor skin irritation, infection at infusion site
- Rare risks: Allergic reactions, infusion pump malfunction, overmedication or dosage errors
Benefits
- Effective pain control tailored to individual needs
- Increased comfort by receiving treatment at home
- Reduced need for hospital visits
Recovery
- Post-infusion monitoring for side effects
- Patients are advised on signs of complications and when to seek medical help
- Follow-up appointments as required to adjust therapy
Alternatives
- Oral medications
- Transdermal patches
- Continuous home infusion therapy
- Inpatient pain management programs Each alternative has its own pros and cons, such as varying levels of effectiveness, convenience, and potential side effects.
Patient Experience
During the infusion, patients might feel a slight pinch at the insertion site. They may experience immediate pain relief. Comfort measures include rest, hydration, and ensuring the infusion site remains clean and dry. Nursing support is available to manage any discomfort or complications.
--- This concise markdown document is designed to provide essential information on home infusion therapy for intermittent pain management. It can serve as a quick reference for healthcare providers or patients seeking a structured overview of the procedure.