S5146 Therapy fostercare child /month
Also known as: therapeutic foster care monthly, therapeutic group home placement
Therapeutic foster care placement services for children including specialized behavioral treatment, therapeutic support, and family-based care provided per month.
In Plain Language
Monthly therapeutic placement; Behavioral support foster home
Clinical Context
Billed monthly for children in therapeutic foster care homes receiving specialized behavioral/emotional treatment within family-based residential setting.
RVU Information
CPT S5146 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 S5146?
CPT S5146 (Therapy fostercare child /month) is a S Codes code. Therapeutic foster care placement services for children including specialized behavioral treatment, therapeutic support, and family-based care provided per month.
Is S5146 covered by insurance?
S5146 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Billed monthly for children in therapeutic foster care homes receiving specialized behavioral/emotional treatment within family-based residential setting.
When is CPT S5146 used?
Billed monthly for children in therapeutic foster care homes receiving specialized behavioral/emotional treatment within family-based residential setting.
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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.