S5100 HCPCS code: Day care services, adult; per 15 minutes
S5100 is the HCPCS Level II code for day care services, adult; per 15 minutes. 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 | 2003-01-01 |
| Last action effective | 2003-01-01 |
What changed for S5100
- 2003-01-01: S5100 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 S5100?
S5100 is the HCPCS Level II code for day care services, adult; per 15 minutes. Short descriptor: "Adult daycare services 15min".
Does Medicare cover S5100?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related S51 codes
- S5101 — Day care services, adult; per half day
- S5102 — Day care services, adult; per diem
- S5105 — Day care services, center-based; services not included in program fee, per diem
- S5108 — Home care training to home care client, per 15 minutes
- S5109 — Home care training to home care client, per session
- S5110 — Home care training, family; per 15 minutes
- S5111 — Home care training, family; per session
- S5115 — Home care training, non-family; per 15 minutes
- S5116 — Home care training, non-family; per session
- S5120 — Chore services; per 15 minutes
- S5121 — Chore services; per diem
- S5125 — Attendant care services; per 15 minutes
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Next steps
- Run a reimbursement report for a device billed under S5100
- Watch S5100 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for S5100
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.