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Home infusion therapy, enzyme replacement intravenous therapy; (e.g., imiglucerase); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

HCPCS code

Medical Policies and Guidelines for Home infusion therapy, enzyme replacement intravenous therapy; (e.g., imiglucerase); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem

Related policies from health plans

Aldurazyme (laronidase)

Elaprase (idursufase)

Enzyme Replacement Therapy for Gaucher Disease

Fabrazyme (agalsidase beta)

Naglazyme (galsulfase)

Pompe Disease [Lumizyme (alglucosidase alfa), Nexviazyme (avalglucosidase alfa-ngpt)]

Vimizim (elosulfase alfa)

Similar Codes

ICD10CM codes

Z51.1 - Encounter for antineoplastic chemotherapy and immunotherapy

Z29.1 - Encounter for prophylactic immunotherapy

T82.514A - Breakdown (mechanical) of infusion catheter, initial encounter

Z51.12 - Encounter for antineoplastic immunotherapy

T85.610A - Breakdown (mechanical) of cranial or spinal infusion catheter, initial encounter

Z45.1 - Encounter for adjustment and management of infusion pump

T85.528A - Displacement of other gastrointestinal prosthetic devices, implants and grafts, initial encounter

T85.610D - Breakdown (mechanical) of cranial or spinal infusion catheter, subsequent encounter

T85.614A - Breakdown (mechanical) of insulin pump, initial encounter

Z49.31 - Encounter for adequacy testing for hemodialysis

HCPCS codes

S9357 - Home infusion therapy, enzyme replacement intravenous therapy; (e.g., imiglucerase); administrative

S9338 - Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care

S9379 - Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professi

S9355 - Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, c

S9351 - Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative servi

S9494 - Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, profes

S9329 - Home infusion therapy, chemotherapy infusion; administrative services, professional pharmacy service

S9373 - Home infusion therapy, hydration therapy; administrative services, professional pharmacy services, c

S9359 - Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administr

S9330 - Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative

CPT4 codes

99602 - Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List s

99601 - Home infusion/specialty drug administration, per visit (up to 2 hours)

90781 - Intravenous infusion for therapy/diagnosis, administered by physician or under direct supervision of

96368 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent

96367 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional

96366 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each addit

96415 - Chemotherapy administration, intravenous infusion technique; each additional hour (List separately i

96370 - Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (

96365 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, u

96417 - Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (di