Medical Policy A9274

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Infusion Pumps - Medical Clinical Policy Bulletins | Aetna

https://www.aetna.com/cpb/medical/data/100_199/0161.html

A9274: External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories: C8957: Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump: …

Portable External Infusion Pump | BCBSND

https://www.bcbsnd.com/providers/policies-precertification/medical-policy/p/portable-external-infusion-pump

A9274 Replacement Insulin Pump or replacement Personal Diabetes Manager (PDM)/Controller for Omnipod systems may be considered medically necessary for …

Medical Necessity Guidelines: Continuous Subcutaneous …

https://tuftshealthplan.com/documents/providers/guidelines/medical-necessity-guidelines/continuous-subcutaneous-insulin-tog

Medical Necessity Guidelines are developed to determine coverage for benefits, and are published to provide a better understanding of the basis upon which …

Medical Policy Insulin Delivery Devices - bluecrossma.org

https://www.bluecrossma.org/medical-policies/sites/g/files/csphws2091/files/acquiadam-assets/332%20Insulin%20Delivery%20Devices%20prn.pdf

MEDICALLY NECESSARY as such upgrades have not been shown to make a clinically significant difference. Equipment upgrades or accessories whose sole purpose is to …

A9274 - HCPCS Code for Ext amb insulin delivery sys

https://hcpcs.codes/a-codes/A9274/

HCPCS Code. A9274. External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories. Transportation Services Including Ambulance, …

Continuous Glucose Monitoring Systems & Insulin Pumps

https://www.paramounthealthcare.com/assets/documents/MedicalPolicy/PG0177_Continuous_Glucose_Monitoring_Systems_and_Insulin_Pumps.pdf

Effective 01/01/2023 procedures A9278, A9277, and A9276 will be denied as noncovered. Medicare Advantage Plans Coverage for Continuous Glucose Monitoring Systems …

Infusion Pumps (NCD 280.14) - UHCprovider.com

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/i/infusion-pumps.pdf

Article - External Infusion Pumps - Policy Article (A52507)

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=52507

POLICY SPECIFIC DOCUMENTATION REQUIREMENTS. Coverage of an external infusion pump for the administration of continuous subcutaneous insulin …

Definitions - Search Medical Policies and Clinical Guidelines

https://medpol.providers.amerigroup.com/dam/medpolicies/amerigroup/active/guidelines/gl_pw_d073854.html

Inclusion or exclusion of a procedure, diagnosis or device code (s) does not constitute or imply member coverage or provider reimbursement policy. Please refer to …

Continuous Glucose Monitoring and Insulin Delivery for …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/continuous-glucose-monitoring-insulin-delivery-managing-diabetes.pdf

Standard external insulin pumps connect to flexible plastic tubing that ends with a needle inserted through the skin into the fatty tissue. Another type of insulin pump …

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