S5035 HCPCS Level II code: Home infusion therapy, routine service of infusion device (e.g., pump maintenance)
S5035 is the HCPCS code for “Home infusion therapy, routine service of infusion device (e.g., pump maintenance)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S5035Home infusion therapy, routine service of infusion device (e.g., pump maintenance)
Short description: Hit routine device maint
HCPCS · United States
Notes for S5035
As CMS prints them, with any note S5035 takes from the headings above it.
Note
- CMS processing note 0088: "S" CODES ARE UNIQUE TEMPORARY CODES ESTABLISHED BY BCBSA AND HIAA FOR PRIVATE PAYOR USE. THEY ARE NOT VALID NOR PAYABLE BY MEDICARE.
Medicare details
The indicators CMS publishes with S5035 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Not payable by Medicare
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Other medical items or services
- BETOS category
- Undefined codes
- Added
- Jan 1, 2002
Where S5035 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S5035Home infusion therapy, routine service of infusion device (e.g., pump maintenance)
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code S5035 mean?
S5035 is the HCPCS code for “Home infusion therapy, routine service of infusion device (e.g., pump maintenance)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S5035?
CMS lists S5035’s Medicare coverage as “Not payable by Medicare” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside S5035
All S codesS5001Prescription drug, brand nameS50105% dextrose and 0.45% normal saline, 1000 mlS50115% dextrose in lactated ringer's, 1000 mlS50125% dextrose with potassium chloride, 1000 mlS50135% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1000 mlS50145% dextrose/0.45% normal saline with potassium chloride and magnesium sulfate, 1500 mlS5036Home infusion therapy, repair of infusion device (e.g., pump repair)S5100Day care services, adult; per 15 minutesS5101Day care services, adult; per half dayS5102Day care services, adult; per diemS5105Day care services, center-based; services not included in program fee, per diemS5108Home care training to home care client, per 15 minutes