S9342 Insurance Policy Changes

HCPCS S9342 is officially defined as "Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem." HCPCS S9342 is referenced in 4 tracked payer policy changes from Health Net. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS S9342 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.