A4226 Weekly supply maint cgs pump
Also known as: CGM pump supplies, integrated pump supplies, weekly maintenance
Weekly Supply and Maintenance Components for Continuous Glucose Monitoring Pump, comprehensive weekly supply set for integrated insulin pump and glucose monitoring.
In Plain Language
weekly pump and glucose monitor supplies; continuous monitoring kit
Clinical Context
Provided weekly for patients on integrated insulin pump and continuous glucose monitoring systems for comprehensive diabetes management.
RVU Information
CPT A4226 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A4226?
CPT A4226 (Weekly supply maint cgs pump) is a A Codes code. Weekly Supply and Maintenance Components for Continuous Glucose Monitoring Pump, comprehensive weekly supply set for integrated insulin pump and glucose monitoring.
Does Medicare cover A4226?
Medicare coverage for A4226 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Provided weekly for patients on integrated insulin pump and continuous glucose monitoring systems for comprehensive diabetes management. A physician order is typically required.
When is CPT A4226 used?
Provided weekly for patients on integrated insulin pump and continuous glucose monitoring systems for comprehensive diabetes management.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.