Does G9147 require prior authorization?

No, G9147 does not require prior authorization (medium confidence). Covered without prior authorization by at least one policy, though another does not cover it.

What is the Medicare reimbursement rate for G9147?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

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`G9147`, Outpatient intravenous insulin treatment (oivit) either pulsatile or

HCPCS/CPT

Prior Authorization

No Prior Auth Required

Covered without prior authorization by at least one policy, though another does not cover it (medium confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Documentation Required

No specific documentation requirements are stated in this Clinical Policy Bulletin.
The policy explicitly states that diagnostic measurements often used in the context of intermittent IV insulin therapy (respiratory quotient, urine urea nitrogen, arterial/venous/capillary glucose, potassium concentration) are of unproven clinical value in this context and thus are not supported by the policy; documentation of such testing does not make the therapy medically necessary per this policy.

6 Active Policies

ANTHEM-MED.00152, Outpatient Intravenous Insulin Therapy

AETNA-CPB-0742, Intermittent Intravenous Insulin Therapy

BCBSIL-MED201.028, Intermittent Intravenous Insulin Therapy

BCBSMT-MED201.028, Intermittent Intravenous Insulin Therapy

BCBSNM-MED201.028, Intermittent Intravenous Insulin Therapy

BCBSOK-MED201.028, Intermittent Intravenous Insulin Therapy

`G9147`, Outpatient intravenous insulin treatment (oivit) either pulsatile or

Prior Authorization

Medicare Pricing

Documentation Required

6 Active Policies

Related Codes

Have a follow-up question?

G9147, Outpatient intravenous insulin treatment (oivit) either pulsatile or

Prior Authorization

Medicare Pricing

Documentation Required

6 Active Policies

Related Codes

Have a follow-up question?

`G9147`, Outpatient intravenous insulin treatment (oivit) either pulsatile or