S9131 Pt in the home per diem

What S9131 is

Physical therapy; in the home, per diem

HCPCS Level II long description, CMS October 2026 file. See the S codes page for the full section.

Medicare payment for S9131 (CY2026)

This code has no Physician Fee Schedule rate: Not valid for Medicare purposes. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.

Billed with S9131? These codes are bundled into it

S9131 is a Column 1 code in 1 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.