Article Detail - JA DME

Coding guidelines have been updated to help clarify supplier questions regarding billing for external infusion pump supplies. Claims for K0552 (supplies for external non-insulin drug infusion pump, syringe type cartridge) are not separately payable if the infusion drug is pre-packaged in a syringe-type cartridge. This clarification helps address whether K0552 and A4222 (infusion supplies per cassette or bag) can be billed together. Be sure documentation supports the method of drug delivery and aligns with the updated guidance. Refer to the External Infusion Pumps- Policy Article A52507 for details.