Insulin Infusion Pumps with Integrated Continuous Glucose Sensing Capabilities and Related Accessories/Supplies - Codes E0787 and A4226 - Correct Coding

The HCPCS codes E0787 and A4226 were added effective January 1, 2020. The Centers for Medicare & Medicaid Services (CMS) has become aware of complexities associated with these two codes in terms of processing claims and payment. CMS sought public input on the status of these two codes as part of the June 2, 2020 HCPCS public meeting, with a proposal to make both codes invalid for Medicare claims submission. After careful review of the comments submitted and the issues surrounding use and payment for these codes, CMS has decided to make these codes invalid for Medicare claims submission.

Read the complete advisory article, Insulin Infusion Pumps with Integrated Continuous Glucose Sensing Capabilities and Related Accessories/Supplies - Codes E0787 and A4226 - Correct Coding.