S5126 — Attendant care services; per diem
S5126 is a HCPCS Level II code for attendant care services; per diem. It belongs to the Temporary National Codes (Non-Medicare) section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusI
Not valid for Medicare purposes. Medicare uses another code.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for S5126
- Long descriptor
- Attendant care services; per diem
- Short descriptor
- Attendant care service /diem
- Added
- January 1, 2003
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to S5126
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If S5126 is not quite right, the correct code is very often within a few positions of it.
- S5109Home care training to home care client, per session
- S5110Home care training, family; per 15 minutes
- S5111Home care training, family; per session
- S5115Home care training, non-family; per 15 minutes
- S5116Home care training, non-family; per session
- S5120Chore services; per 15 minutes
- S5121Chore services; per diem
- S5125Attendant care services; per 15 minutes
- S5130Homemaker service, nos; per 15 minutes
- S5131Homemaker service, nos; per diem
- S5135Companion care, adult (e.g., iadl/adl); per 15 minutes
- S5136Companion care, adult (e.g., iadl/adl); per diem
- S5140Foster care, adult; per diem
- S5141Foster care, adult; per month
- S5145Foster care, therapeutic, child; per diem
- S5146Foster care, therapeutic, child; per month
Questions about S5126
What is HCPCS code S5126?
S5126 is a HCPCS Level II code for attendant care services; per diem. It sits in the Temporary National Codes (Non-Medicare) section.
Does Medicare cover S5126?
The CMS HCPCS file marks S5126 as "Not payable by Medicare". Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
How is S5126 paid under the physician fee schedule?
S5126 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.