A4231 Infusion insulin pump needle
Also known as: insulin infusion set, needle infusion set, pump connection
Infusion Set for Insulin Pump Needle, a needle-based infusion set connecting insulin pump to patient's subcutaneous tissue.
In Plain Language
insulin pump connector with needle; needle-based catheter
Clinical Context
Used to deliver insulin from pump to subcutaneous tissue in patients preferring needle-based infusion sets.
RVU Information
CPT A4231 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 A4231?
CPT A4231 (Infusion insulin pump needle) is a A Codes code. Infusion Set for Insulin Pump Needle, a needle-based infusion set connecting insulin pump to patient's subcutaneous tissue.
Does Medicare cover A4231?
Medicare coverage for A4231 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used to deliver insulin from pump to subcutaneous tissue in patients preferring needle-based infusion sets. A physician order is typically required.
When is CPT A4231 used?
Used to deliver insulin from pump to subcutaneous tissue in patients preferring needle-based infusion sets.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.