S5165 HCPCS Level II code: Home modifications; per service
S5165 is the HCPCS code for “Home modifications; per service” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
S5165Home modifications; per service
Short description: Home modifications per serv
HCPCS · United States
Medicare details
The indicators CMS publishes with S5165 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, 2003
Where S5165 sits
- 1S codesTemporary national codes (non-Medicare)
- 2Active code S5165Home modifications; per service
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 S5165 mean?
S5165 is the HCPCS code for “Home modifications; per service” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover S5165?
CMS lists S5165’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 S5165
All S codesS5146Foster care, therapeutic, child; per monthS5150Unskilled respite care, not hospice; per 15 minutesS5151Unskilled respite care, not hospice; per diemS5160Emergency response system; installation and testingS5161Emergency response system; service fee, per month (excludes installation and testing)S5162Emergency response system; purchase onlyS5170Home delivered meals, including preparation; per mealS5175Laundry service, external, professional; per orderS5180Home health respiratory therapy, initial evaluationS5181Home health respiratory therapy, nos, per diemS5185Medication reminder service, non-face-to-face; per monthS5190Wellness assessment, performed by non-physician