S9145 HCPCS code: Insulin pump initiation, instruction in initial use of pump (pump not included)
S9145 is the HCPCS Level II code for insulin pump initiation, instruction in initial use of pump (pump not included). 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 | 2002-04-01 |
| Last action effective | 2002-04-01 |
What changed for S9145
- 2002-04-01: S9145 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 S9145?
S9145 is the HCPCS Level II code for insulin pump initiation, instruction in initial use of pump (pump not included). Short descriptor: "Insulin pump initiation".
Does Medicare cover S9145?
Coverage code I — Not payable by Medicare. Medicare does not pay separately under this code; another code applies.
Related S91 codes
- S9110 — Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month
- S9117 — Back school, per visit
- S9122 — Home health aide or certified nurse assistant, providing care in the home; per hour
- S9123 — Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)
- S9124 — Nursing care, in the home; by licensed practical nurse, per hour
- S9125 — Respite care, in the home, per diem
- S9126 — Hospice care, in the home, per diem
- S9127 — Social work visit, in the home, per diem
- S9128 — Speech therapy, in the home, per diem
- S9129 — Occupational therapy, in the home, per diem
- S9131 — Physical therapy; in the home, per diem
- S9140 — Diabetic management program, follow-up visit to non-md provider
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Next steps
- Run a reimbursement report for a device billed under S9145
- Watch S9145 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for S9145
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.