A9274 HCPCS code: External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
A9274 is the HCPCS Level II code for external ambulatory insulin delivery system, disposable, each, includes all supplies and accessories. Its Medicare coverage code is S (Non-covered by Medicare statute): Medicare is barred by law from covering it.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | S — Non-covered by Medicare statute |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1A — Medical/surgical supplies |
| Added | 2008-01-01 |
| Last action effective | 2015-01-01 |
Medicare policy articles for this code
- A52507: External Infusion Pumps - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (460 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| C91.00 | Acute lymphoblastic leukemia not having achieved remission | 1 |
| C91.01 | Acute lymphoblastic leukemia, in remission | 1 |
| C91.02 | Acute lymphoblastic leukemia, in relapse | 1 |
| D80.0 | Hereditary hypogammaglobulinemia | 1 |
| D80.2 | Selective deficiency of immunoglobulin A [IgA] | 1 |
| D80.3 | Selective deficiency of immunoglobulin G [IgG] subclasses | 1 |
| D80.4 | Selective deficiency of immunoglobulin M [IgM] | 1 |
| D80.5 | Immunodeficiency with increased immunoglobulin M [IgM] | 1 |
| D80.6 | Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia | 1 |
| D80.7 | Transient hypogammaglobulinemia of infancy | 1 |
Showing 10 of 460. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for A9274
- 2008-01-01: A9274 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A9274?
A9274 is the HCPCS Level II code for external ambulatory insulin delivery system, disposable, each, includes all supplies and accessories. Short descriptor: "Ext amb insulin delivery sys".
Does Medicare cover A9274?
Coverage code S — Non-covered by Medicare statute. Medicare is barred by law from covering it.
Which diagnoses support coverage for A9274?
Medicare policy articles that cite A9274 list 460 covered ICD-10-CM diagnosis codes across 1 article. The most cited include C91.00 (Acute lymphoblastic leukemia not having achieved remission), C91.01 (Acute lymphoblastic leukemia, in remission), C91.02 (Acute lymphoblastic leukemia, in relapse). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Related A92 codes
- A9268 — Programmer for transient, orally ingested capsule
- A9269 — Programable, transient, orally ingested capsule, for use with external programmer, per month
- A9270 — Non-covered item or service
- A9272 — Wound suction, disposable, includes dressing, all accessories and components, any type, each
- A9273 — Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type
- A9275 — Home glucose disposable monitor, includes test strips
- A9276 — Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply
- A9277 — Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
- A9278 — Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
- A9279 — Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified
- A9280 — Alert or alarm device, not otherwise classified
- A9281 — Reaching/grabbing device, any type, any length, each
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under A9274
- Watch A9274 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9274
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.