HCPCS code A4225 — Sup/ext insulin inf pump syr. Status: Active. Effective Jan 1, 2017. Source: CMS HCPCS Level II.

A4225

Active

Sup/ext insulin inf pump syr

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2017
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A4225 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 1
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits