About this policy
CMS National Coverage Determination | ncd_id=133 | manual_section=40.4 | coverage_level_code=1 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
Medical supplies are covered under §1861(s)(2)(A) of the Act only when they are furnished incident to a physician's professional services. To be covered under this provision an insulin syringe must have been used by the physician or under his/her direct personal supervision, and the insulin injection must have been given in an emergency situation (e.g., diabetic coma). The use of an insulin syringe by a diabetic would not meet the requirements of §1861(s)(2)(A) of the Act.
Documentation requirements
Cross Reference: See the Medicare Benefit Policy Manual , Chapter 15, §30 Revision History: 5/1989 - Added statutory authority citation. Effective date NA. (TN 36) Benefit Categories: 33 - Incident to a physician's professional Service Transmittal: transmittal_number=36 | transmittal_issue_date=1989-05-01
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
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