A9274 External amb insulin delivery sys
Also known as: insulin pump, CSII pump, infusion pump
External ambulatory insulin delivery system for continuous insulin infusion therapy.
In Plain Language
insulin machine; automatic insulin dispenser; continuous insulin device
Clinical Context
Used for continuous subcutaneous insulin infusion in diabetes management. Provides precise insulin dosing and improves glycemic control.
RVU Information
CPT A9274 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 A9274?
CPT A9274 (External amb insulin delivery sys) is a A Codes code. External ambulatory insulin delivery system for continuous insulin infusion therapy.
Does Medicare cover A9274?
Medicare coverage for A9274 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for continuous subcutaneous insulin infusion in diabetes management. Provides precise insulin dosing and improves glycemic control. A physician order is typically required.
When is CPT A9274 used?
Used for continuous subcutaneous insulin infusion in diabetes management. Provides precise insulin dosing and improves glycemic control.
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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.