What is CPT code for infusion pump?

Prolonged infusions for 24 hours or longer may require that the pump or pump cassette be refilled. CPT code 96521 (for a portable pump) or 96522 (for an implantable pump) should be reported when the patient must come into the office to have the pump or pump cassette refilled.

What is external infusion pump?

An external infusion pump is a medical device used to deliver fluids into a patient’s body in a controlled manner. There are many different types of infusion pumps, which are used for a variety of purposes and in a variety of environments.

What is CPT code E0784?

External ambulatory insulin infusion pumps, code E0784 in the Healthcare Common Procedure Coding System (HCPCS), are currently reimbursed under Medicare coverage criteria per section 280.14 of the Medicare National Coverage Determinations Manual.

What is CPT code A4222?

Short Description: Infusion supplies with pump. Long Description: INFUSION SUPPLIES FOR EXTERNAL DRUG INFUSION PUMP, PER CASSETTE OR BAG (LIST DRUGS SEPARATELY)

What is E0781 used for?

An ambulatory infusion pump (E0781) is an electrical or battery operated device, which is used to deliver solutions containing a parenteral drug under pressure at a regulated flow rate. It is small, portable, and designed to be carried by the beneficiary.

How do you bill for an infusion pump?

An infusion drug not administered using a durable infusion pump must be billed using the appropriate HCPCS code plus the GY modifier. If the drug does not have a unique code, use the unclassified drug code, J3490.

What is the difference between 96416 and G0498?

HCPCS code G0498 is for a portable pump and not the implantable pump. Code 96416 is still a valid code for Medicare purposes as well, so you’d want to check with your other payers about whether they’re also accepting G0498, which is inclusive of additional information.

What is external ambulatory infusion pump insulin?

An external insulin infusion pump is a small, battery-powered, programmable device controlled by a micro-computer to provide continuous subcutaneous insulin infusion (CSII) in individuals with diabetes mellitus.

What is CPT code K0554?

K0554 Receiver (Monitor), dedicated, for use with therapeutic continuous glucose monitor system. The billing jurisdiction for both of these codes will be the DME MAC.

What is CPT code A4221?

HCPCS code A4221 for Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) as maintained by CMS falls under Injection and Infusion Supplies .

What is CPT code A4223?

HCPCS code A4223 for Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) as maintained by CMS falls under Injection and Infusion Supplies .

What is CPT code A9276?

A9276 – SENSOR; INVASIVE (E.G. SUBCUTANEOUS), DISPOSABLE, FOR USE WITH INTERSTITIAL CONTINUOUS GLUCOSE MONITORING SYSTEM, ONE UNIT = 1 DAY SUPPLY.

What is procedure code 96417?

Subsequent infusion CPT code 96417 (chemotherapy administration, intravenous infusion technique; each additional sequential infusion [different substance/drug] up to one hour) would be used to report the Gemzar infusion that ran for 40 minutes.

What is CPT G0498?

HCPCS code G0498 (Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/other outpatient setting using office/other outpatient setting pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) is intended …