HCPCS Code S5125: Attendant care services, per 15 minutes

Avoid denials for HCPCS S5125. Our guide to attendant care services covers documentation, billing rules, and modifier tips for accurate claims.

Use Code

Frequently asked questions

Use S5125 to bill attendant care services in 15-minute units when the payer recognizes the HCPCS S-code. Some programs use T-codes such as T1019 or T1020 instead. Confirm the correct code in the member’s benefit plan.

There is no CPT code for non-medical attendant care. Payers use HCPCS S-codes or T-codes, with S5125 being common for per-unit billing. Check your policy manual to determine which code set applies to your program.

Medicare typically uses G0156 for home health aide services, billed in 15-minute increments during a covered episode. Some commercial or Medicaid plans may use S9122 when billing a certified nurse assistant by the hour.