S9474 Enterostomal therapy by a re
Also known as: ostomy care service, stoma management, ostomy education
Enterostomal therapy or ostomy care services including education and management provided by a certified enterostomal nurse specialist.
In Plain Language
colostomy care service; ostomy training; stoma care program
Clinical Context
Provided for patients with colostomy, ileostomy, urostomy, or other surgical ostomies. Addresses skin care, pouch management, complications, and psychosocial adjustment.
RVU Information
CPT S9474 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 S9474?
CPT S9474 (Enterostomal therapy by a re) is a S Codes code. Enterostomal therapy or ostomy care services including education and management provided by a certified enterostomal nurse specialist.
Is S9474 covered by insurance?
S9474 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Provided for patients with colostomy, ileostomy, urostomy, or other surgical ostomies. Addresses skin care, pouch management, complications, and psychosocial adjustment.
When is CPT S9474 used?
Provided for patients with colostomy, ileostomy, urostomy, or other surgical ostomies. Addresses skin care, pouch management, complications, and psychosocial adjustment.
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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.