S5109 HCPCS code: Home care training to home care client, per session
S5109 is the HCPCS Level II code for home care training to home care client, per session. 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 | 2003-04-01 |
| Last action effective | 2003-04-01 |
What changed for S5109
- 2003-04-01: S5109 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 S5109?
S5109 is the HCPCS Level II code for home care training to home care client, per session. Short descriptor: "Homecare train pt session".
Does Medicare cover S5109?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related S51 codes
- S5100 — Day care services, adult; per 15 minutes
- 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
- 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
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under S5109
- Watch S5109 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for S5109
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.