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NHIA is pleased to share that the 2024 version of the NHIA National Coding Standard for Home Infusion Claims under HIPAA is now available and still offered to the public at no charge. First published in 2002, this document of procedures and examples for coding home infusion claims is widely used by payers and providers throughout the United States. NHIA’s consistent, annual updates to this crucial National Coding Standard represent a strategic effort by NHIA to actively advance standardization of claim transactions and coding for all home infusion services provided.
The document presents the HCPCS (Healthcare Common Procedure Coding System) per diem “S” codes as a comprehensive coding system for home infusion therapy claims and provides procedures for their use, information about what’s included in the home infusion per diem, and detailed coding examples for both typical and unusual claims scenarios that payers and providers are likely to encounter. It also includes procedures and examples for services provided in the Ambulatory Infusion Suite of the Home Infusion Therapy Provider (AIS).
The 2024 NHIA National Coding Standard has been updated to include new home infusion service codes and changes to the description of existing codes. These changes were a result of NHIAs ongoing efforts to modernize the home infusion code set to reduce the need to utilize not otherwise classified (NOC) codes by expanding the code set to account for newer drug therapies that have come to market since the S-code set was first introduced 20+ years ago. Significant changes from the previous version are highlighted in red within the document.
NHIA National Coding Standard, v1.12.00a
NHIA is pleased to announce that the 2024 version of the NHIA National Coding Standard for Home Infusion Claims under HIPAA is now available and still offered to the public at no charge.