S1036 HCPCS code: Transmitter; external, for use with artificial pancreas device system
S1036 is the HCPCS Level II code for transmitter; external, for use with artificial pancreas device system. 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 S1036
- 2014-07-01: S1036 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 S1036?
S1036 is the HCPCS Level II code for transmitter; external, for use with artificial pancreas device system. Short descriptor: "Art pancreas ext transmitter".
Does Medicare cover S1036?
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)
- S1034 — 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
- S1035 — Sensor; invasive (e.g., subcutaneous), disposable, 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 S1036
- Watch S1036 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for S1036
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.