S5199 Personal care item not otherwise specified each
Also known as: personal care supplies, miscellaneous care items
Personal care items and supplies not otherwise specified including miscellaneous patient care products and equipment required for daily living assistance.
In Plain Language
Care supply; Personal item
Clinical Context
Used for billing individual miscellaneous personal care items and supplies not captured by other specific codes.
RVU Information
CPT S5199 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 S5199?
CPT S5199 (Personal care item not otherwise specified each) is a S Codes code. Personal care items and supplies not otherwise specified including miscellaneous patient care products and equipment required for daily living assistance.
Is S5199 covered by insurance?
S5199 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Used for billing individual miscellaneous personal care items and supplies not captured by other specific codes.
When is CPT S5199 used?
Used for billing individual miscellaneous personal care items and supplies not captured by other specific codes.
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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.