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CPT 96521 Refilling and maintenance of portable pump

Penelope Posted Tue 27th of March, 2012 18:37:04 PM

Can CPT code 96521 be used for insulin pump maintenance?

Thank you!

SuperCoder Answered Tue 27th of March, 2012 19:52:12 PM

Yes, I agree. An external infusion pump (EIP) is a portable device intended to provide continuous ambulatory drug infusion therapy over an extended time period. The EIP is also known as an external pump, ambulatory pump, or a mini-infuser. The EIP is usually the size of a portable cassette player and can be worn on a belt around the patient's waist or from a shoulder harness. They are battery-driven devices.
Use of the external infusion pump (EIP) for the administration of the following drugs is considered medically necessary for selected patients on:
insulin for treatment of insulin-dependent diabetes mellitus in patients who cannot be controlled by intermittent dosing. Acceptable routes are SC and IV

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