S9125: Respite care, in the home, per diem
S9125 is a HCPCS Level II code for respite care, in the home, 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 2026Q4-Oct. 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 S9125
- Long descriptor
- Respite care, in the home, per diem
- Short descriptor
- Respite care, in the home, p
- Added
- January 1, 2000
- 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 S9125
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If S9125 is not quite right, the correct code is very often within a few positions of it.
- S9090Vertebral axial decompression, per session
- S9097Home visit for wound care
- S9098Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem
- S9110Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month
- S9117Back school, per visit
- S9122Home health aide or certified nurse assistant, providing care in the home; per hour
- S9123Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)
- S9124Nursing care, in the home; by licensed practical nurse, per hour
- S9126Hospice care, in the home, per diem
- S9127Social work visit, in the home, per diem
- S9128Speech therapy, in the home, per diem
- S9129Occupational therapy, in the home, per diem
- S9131Physical therapy; in the home, per diem
- S9140Diabetic management program, follow-up visit to non-md provider
- S9141Diabetic management program, follow-up visit to md provider
- S9145Insulin pump initiation, instruction in initial use of pump (pump not included)