S5105 Centerbased day care perdiem
Also known as: center-based daycare, adult day service
Center-based adult day care services provided on a per diem basis, including therapeutic programming, meals, transportation, and supervision in a center setting.
In Plain Language
Day center program; Adult supervision center
Clinical Context
Provides comprehensive daytime supervision and therapeutic services for functionally impaired adults in a structured center environment.
RVU Information
CPT S5105 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.
Specialties
Frequently Asked Questions
What is CPT code S5105?
CPT S5105 (Centerbased day care perdiem) is a S Codes code. Center-based adult day care services provided on a per diem basis, including therapeutic programming, meals, transportation, and supervision in a center setting.
Is S5105 covered by insurance?
S5105 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Provides comprehensive daytime supervision and therapeutic services for functionally impaired adults in a structured center environment.
When is CPT S5105 used?
Provides comprehensive daytime supervision and therapeutic services for functionally impaired adults in a structured center environment.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.