S1034 HCPCS code: Artificial pancreas device system (e.g., low glucose suspend (lgs) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices
S1034 is the HCPCS Level II code for artificial pancreas device system (e.g., low glucose suspend (lgs) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices. Its Medicare coverage code is I (Not payable by Medicare): Medicare does not pay separately under this code; another code applies.
Code details
| Field | Value |
|---|---|
| Section | S codes — Temporary national codes (non-Medicare) |
| Coverage code | I — Not payable by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2014-07-01 |
| Last action effective | 2014-07-01 |
What changed for S1034
- 2014-07-01: S1034 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 S1034?
S1034 is the HCPCS Level II code for artificial pancreas device system (e.g., low glucose suspend (lgs) feature) including continuous glucose monitor, blood glucose device, insulin pump and computer algorithm that communicates with all of the devices. Short descriptor: "Art pancreas system".
Does Medicare cover S1034?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related S10 codes
- S1001 — Deluxe item, patient aware (list in addition to code for basic item)
- S1002 — Customized item (list in addition to code for basic item)
- S1015 — Iv tubing extension set
- S1016 — Non-pvc (polyvinyl chloride) intravenous administration set, for use with drugs that are not stable in pvc e.g., paclitaxel
- S1030 — Continuous noninvasive glucose monitoring device, purchase (for physician interpretation of data, use cpt code)
- S1031 — Continuous noninvasive glucose monitoring device, rental, including sensor, sensor replacement, and download to monitor (for physician interpretation of data, use cpt code)
- S1035 — Sensor; invasive (e.g., subcutaneous), disposable, for use with artificial pancreas device system
- S1036 — Transmitter; external, for use with artificial pancreas device system
- S1037 — Receiver (monitor); external, for use with artificial pancreas device system
- S1040 — Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)
- S1090 — Mometasone furoate sinus implant, 370 micrograms
- S1091 — Stent, non-coronary, temporary, with delivery system (propel)
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 S1034
- Watch S1034 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for S1034
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.