HCPCS S9366 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Temporary National Codes (Non-Medicare) • Home Infusion Therapy |
| Common Place of Service | • 99 - Other POS • None |
| Complexity Level | Moderate |
National average reimbursement for HCPCS S9366 by major payers:
$209.43
$70.00
$50.00
$216.65
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS S9366 | ||||||
United | S9366 | $120.00 | 1841926094 - BLUEBIRD SPECIALTY PHARMACY LLC | 882483764 - (FL) BLUEBIRD SPECIALTY PHARMACY LLC | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $154.35 | 1457658486 - BIOSCRIP INFUSION SERVICES, LLC | 521959962 | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $120.00 | 1114672805 - APRICUSRX LLC, VITAL CARE OF SARASOTA | 873961866 - (FL) APRICUSRX LLC | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $140.00 | 1700975802 - OPTUM INFUSION SERVICES 202, INC. | 1700975802 - (FL) OPTUM INFUSION SERVICES 202, INC. | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $120.00 | 1679350383 - ZENITH 24, LLC | 923824309 | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $120.00 | 1841926094 - BLUEBIRD SPECIALTY PHARMACY LLC | 882483764 - (FL) BLUEBIRD SPECIALTY PHARMACY LLC | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $115.00 | 1417907627 - CORAM HEALTHCARE CORPORATION OF FLORIDA, CORAM CVS/SPECIALTY INFUSION SERVICES | 330556959 | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $140.00 | 1942391271 - OPTUM INFUSION SERVICES 201, INC. | 1942391271 - (FL) OPTUM INFUSION SERVICES 201, INC. | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $154.35 | 1114366671 - BIOSCRIP INFUSION SERVICES, LLC, BIOSCRIP INFUSION SERVICES | 521959962 | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $115.00 | 1437161999 - CORAM ALTERNATE SITE SERVICES INC, CORAM CVS/SPECIALTY INFUSION SERVICES | 760215922 | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $160.00 | 1932976206 - BIG BEND INFUSION LLC, VITAL CARE OF TALLAHASSEE | 931763672 - (FL) BIG BEND INFUSION LLC | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $140.00 | 1356538771 - OPTUM INFUSION SERVICES 204, INC. | 1356538771 - (FL) OPTUM INFUSION SERVICES 204, INC. | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $160.00 | 1023891348 - BAYSIDE INFUSION SERVICES, LLC | 931619643 - (FL) BAYSIDE INFUSION SERVICES LLC | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $120.00 | 1962413500 - PAVILION INFUSION THERAPY INC, BAPTIST INFUSION THERAPY | 593361021 - (FL) PAVILION INFUSION THERAPY INC | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | S9366 | $160.00 | 1841926094 - BLUEBIRD SPECIALTY PHARMACY LLC | 882483764 - (FL) BLUEBIRD SPECIALTY PHARMACY LLC | FL | Home Infusion Therapy Pharmacy (3336H0001X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS S9366 vs. Other Home Infusion Therapy Codes
The HCPCS S9366 code is part of the Temporary National Codes (Non-Medicare) services used for Home Infusion Therapy. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS S9366 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| S9365-HCPCS | Moderate | Home infusion therapy, total parenteral nutrition (TPN); one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard TPN formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem |
| S9366-HCPCS | Moderate | Home infusion therapy, total parenteral nutrition (TPN); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard TPN formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem |
| S9367-HCPCS | Moderate | Home infusion therapy, total parenteral nutrition (TPN); more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard TPN formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S9366. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S9366 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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