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External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories

HCPCS code

Medical Policies and Guidelines for External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories

Related policies from health plans

External Insulin Pumps
CG-DME-51 External Insulin Pumps
Insulin Delivery Systems and Continuous Glucose Monitoring (CG029)
Insulin Delivery Systems and Continuous Glucose Monitoring (CG029)
Continuous Glucose Monitoring and Diabetes Management Devices
Diabetes Management Devices/CGMS

Similar Codes


ICD10CM codes

Z96.41 - Presence of insulin pump (external) (internal)
T85.624A - Displacement of insulin pump, initial encounter
T85.614A - Breakdown (mechanical) of insulin pump, initial encounter
T85.624D - Displacement of insulin pump, subsequent encounter
Z46.81 - Encounter for fitting and adjustment of insulin pump
T85.614D - Breakdown (mechanical) of insulin pump, subsequent encounter
T85.633A - Leakage of insulin pump, initial encounter
T85.614 - Breakdown (mechanical) of insulin pump
T85.624 - Displacement of insulin pump
T85.624S - Displacement of insulin pump, sequela

HCPCS codes

A9274 - External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
E0784 - External ambulatory infusion pump, insulin
A4225 - Supplies for external insulin infusion pump, syringe type cartridge, sterile, each
A9277 - Transmitter; external, for use with interstitial continuous glucose monitoring system
A9276 - Sensor; invasive (e.g., subcutaneous), disposable, for use with interstitial continuous glucose moni
K0552 - Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each
A4231 - Infusion set for external insulin pump, needle type
A9278 - Receiver (monitor); external, for use with interstitial continuous glucose monitoring system
A4230 - Infusion set for external insulin pump, non needle cannula type
S8490 - Insulin syringes (100 syringes, any size)

CPT4 codes

83525 - Insulin; total
83527 - Insulin; free
96523 - Irrigation of implanted venous access device for drug delivery systems
96522 - Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intraven
95249 - Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for
82943 - Glucagon
20702 - Manual preparation and insertion of drug-delivery device(s), intramedullary (List separately in addi
95251 - Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for
95250 - Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for
61215 - Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricula