CMSNational Coverage Determination (NCD)

CMS Insulin Syringe Form


Insulin Syringe

Indications

(635625) Was the insulin syringe used by a physician or under a physician’s direct personal supervision? 
(635626) Was the insulin injection given in an emergency situation, such as a diabetic coma? 

Contraindications

(635627) Is the recipient of the insulin syringe a diabetic administering the injection on their own without physician supervision? 
Effective Date

01/01/2066

Last Reviewed

NA

Original Document

  Reference



Medical supplies are covered under §1861(s)(2)(A) of the Act only when they are furnished incident to a physician's professional services. To be covered under this provision an insulin syringe must have been used by the physician or under his/her direct personal supervision, and the insulin injection must have been given in an emergency situation (e.g., diabetic coma).

The use of an insulin syringe by a diabetic would not meet the requirements of §1861(s)(2)(A) of the Act.