E0787 HCPCS - EXTERNAL AMBULATORY INFUSION PUMP, INSULIN, DOSAGE RATE ADJUSTMENT USING THERAPEUTIC CONTINUOUS GLUCOSE SENSING

Code Information

  • HCPCS Code: E0787
  • Sequence Number: 0010
  • Short Description: Cgs dose adj insulin inf pmp
  • Long Description: External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing
  • Date Added: 1/1/2020
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 9/15/2020
  • Classification: Durable Medical Equipment
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: Z2 - Undefined codes
  • Type Of Service Code:
    • 9 - Other medical items or services

Billing Information

  • Pricing Indicator Code:
    • 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
  • Multiple Pricing Indicator Code: 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: I - Not payable by Medicare

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code E0787
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing
      HCPCS Short Description Cgs dose adj insulin inf pmp
      HCPCS Pricing Indicator Code 1 00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
      HCPCS Multiple Pricing Indicator Code 9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
      HCPCS Coverage Code I - Not payable by Medicare
      HCPCS Berenson-Eggers Type Of Service Code Z2 - Undefined codes
      HCPCS Type Of Service Code 1 9 - Other medical items or services
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2020
      HCPCS Action Effective Date 9/15/2020
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 7/1/2024