J1817 Insulin for insulin pump use
Also known as: insulin pump, CSII insulin
Insulin formulation specifically prepared for continuous subcutaneous insulin infusion via pump devices.
In Plain Language
pump insulin; continuous insulin delivery medication
Clinical Context
Used exclusively for continuous subcutaneous insulin infusion pump therapy. Pump-compatible insulins are designed for optimal stability and function in pump systems.
RVU Information
CPT J1817 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
J-codes represent drugs administered by a healthcare provider (not self-administered). Documentation must include the drug name, dosage, route of administration, and medical necessity. Most payers require the National Drug Code (NDC) on the claim. Bill the appropriate administration code (96365-96379) in addition to the drug code.
Specialties
Frequently Asked Questions
What is CPT code J1817?
CPT J1817 (Insulin for insulin pump use) is a J Codes (Drugs) code. Insulin formulation specifically prepared for continuous subcutaneous insulin infusion via pump devices.
How is J1817 administered?
CPT J1817 is administered by a healthcare provider, typically via injection or infusion. Used exclusively for continuous subcutaneous insulin infusion pump therapy. Pump-compatible insulins are designed for optimal stability and function in pump systems. It is used by Endocrinology, Diabetes Management, Internal Medicine.
When is CPT J1817 used?
Used exclusively for continuous subcutaneous insulin infusion pump therapy. Pump-compatible insulins are designed for optimal stability and function in pump systems.
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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.