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S5145 Child fostercare th per diem

S Codes

Also known as: therapeutic foster care, therapeutic group home

Therapeutic foster care placement services for children including therapeutic support, behavioral management, and specialized care provided per diem.

In Plain Language

Therapeutic foster home; Behavioral support placement

Clinical Context

Used for children with emotional/behavioral disorders placed in therapeutic foster homes providing specialized treatment, supervision, and family-based care.

RVU Information

CPT S5145 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

PediatricsMental HealthLong-term Care

Frequently Asked Questions

What is CPT code S5145?

CPT S5145 (Child fostercare th per diem) is a S Codes code. Therapeutic foster care placement services for children including therapeutic support, behavioral management, and specialized care provided per diem.

Is S5145 covered by insurance?

S5145 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used for children with emotional/behavioral disorders placed in therapeutic foster homes providing specialized treatment, supervision, and family-based care.

When is CPT S5145 used?

Used for children with emotional/behavioral disorders placed in therapeutic foster homes providing specialized treatment, supervision, and family-based care.

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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.