HCPCS code S5521

Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion

Medicare: Not payable by MedicareS seriesAdded January 01, 2002

What S5521 means

S5521 (Hit midline cath insert kit) belongs to the HCPCS Level II S series (Temporary National Codes (Non-Medicare)). Its Medicare coverage status is Not payable by Medicare. This code is not payable by Medicare. Another code is usually used to report the item or service to Medicare, although other payers may accept it.

Part B pricing: Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.).

Code details

Short description
Hit midline cath insert kit
Coverage code
I = Not payable by Medicare
Pricing indicator
00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)
Multiple pricing indicator
9 = Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established(pricing indicator is '99')
Type of service
9 = Other medical items or services
Action code
N = No maintenance for this code
Action effective date
January 01, 2002
Code added date
January 01, 2002
Data year
2026

Questions about S5521

What is HCPCS code S5521?

HCPCS code S5521 is a Level II code in the S series (Temporary National Codes (Non-Medicare)). Its full description is: "Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion"

Is S5521 a CPT code?

No. S5521 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.

Does Medicare cover HCPCS code S5521?

The Medicare coverage code for S5521 is "Not payable by Medicare". This code is not payable by Medicare. Another code is usually used to report the item or service to Medicare, although other payers may accept it.

When was HCPCS code S5521 added?

S5521 was added to the HCPCS code set on January 01, 2002. The most recent action on it (No maintenance for this code) took effect on January 01, 2002.

All S codes