S5035 HCPCS code: Home infusion therapy, routine service of infusion device (e.g., pump maintenance)
S5035 is the HCPCS Level II code for home infusion therapy, routine service of infusion device (e.g., pump maintenance). Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies.
Code details
| Field | Value |
|---|---|
| Section | S codes — Temporary national codes (non-Medicare) |
| Coverage code | I — Not payable by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2002-01-01 |
| Last action effective | 2002-01-01 |
What changed for S5035
- 2002-01-01: S5035 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code S5035?
S5035 is the HCPCS Level II code for home infusion therapy, routine service of infusion device (e.g., pump maintenance). Short descriptor: "Hit routine device maint".
Does Medicare cover S5035?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related S50 codes
- S5000 — Prescription drug, generic
- S5001 — Prescription drug, brand name
- S5010 — 5% dextrose and 0.45% normal saline, 1000 ml
- S5011 — 5% dextrose in lactated ringer's, 1000 ml
- S5012 — 5% dextrose with potassium chloride, 1000 ml
- S5013 — 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 ml
- S5014 — 5% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 ml
- S5036 — Home infusion therapy, repair of infusion device (e.g., pump repair)
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Next steps
- Run a reimbursement report for a device billed under S5035
- Watch S5035 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for S5035
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.