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External Insulin Infusion Pump
✓ Medicare Part B Covered
✓ Verified Equipment
● Available Now
A wearable insulin pump that delivers continuous subcutaneous insulin infusion (CSII) via a small catheter.
Medicare HCPCS Billing Code
A9274
Medicare Part B Coverage
Medically necessary DME — covered when prescribed by your doctor
Annual Deductible
$240 (2024)
Medicare Pays
80% of approved amount
Your Cost
20% (may be $0 with supplement)
Medicare Coverage for External Insulin Infusion Pump
External Insulin Infusion Pump is covered by Medicare Part B as durable medical equipment (DME) when medically necessary. Your doctor must prescribe the equipment and you must purchase it from a Medicare-enrolled supplier.
Medicare Part B covers insulin pumps for Type 1 diabetes (and some Type 2) when patient cannot achieve glycemic control with injections. Requires C-peptide testing.
What You'll Pay
- 1 Meet your Medicare Part B deductible ($240 in 2024)
- 2 Medicare pays 80% of the approved amount
- 3 You pay the remaining 20% — may be $0 with a Medicare Supplement plan