S9098 — Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem
S9098 is a HCPCS Level II code for home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other 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
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The CMS record for S9098
- Long descriptor
- Home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem
- Short descriptor
- Home phototherapy visit
- Added
- January 1, 2002
- 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 S9098
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If S9098 is not quite right, the correct code is very often within a few positions of it.
- S9034Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp, use 43265)
- S9055Procuren or other growth factor preparation to promote wound healing
- S9056Coma stimulation per diem
- S9061Home administration of aerosolized drug therapy (e.g., pentamidine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem
- S9083Global fee urgent care centers
- S9088Services provided in an urgent care center (list in addition to code for service)
- S9090Vertebral axial decompression, per session
- S9097Home visit for wound care
- 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
- S9125Respite care, in the home, per diem
- S9126Hospice care, in the home, per diem
- S9127Social work visit, in the home, per diem
Questions about S9098
What is HCPCS code S9098?
S9098 is a HCPCS Level II code for home visit, phototherapy services (e.g., bili-lite), including equipment rental, nursing services, blood draw, supplies, and other services, per diem. It sits in the Temporary National Codes (Non-Medicare) section.
Does Medicare cover S9098?
The CMS HCPCS file marks S9098 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 S9098 paid under the physician fee schedule?
S9098 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.