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Packageus.nlm.vsac
Resource TypeValueSet
IdValueSet-2.16.840.1.113762.1.4.1078.676.json
FHIR VersionR4
Sourcehttps://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1078.676/expansion
URLhttp://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.676
Version20250509
Statusactive
Date2025-05-09T01:08:50-04:00
NamePIM_Diabetes_Testing_Supplies
TitlePIM_Diabetes_Testing_Supplies
Realmus
Authorityhl7
Purpose(Clinical Focus: List of HCPCS codes for diabetes testing supplies),(Data Element Scope: Diabetic testing supplies),(Inclusion Criteria: Includes glucose monitors, lancets, needles, disinfectant wipes.),(Exclusion Criteria: N/A)

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
HCPCSReleaseCodeSetsHealthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes

Narrative

No narrative content found in resource


Source1

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  "meta": {
    "versionId": "12",
    "lastUpdated": "2025-05-09T01:08:50.000-04:00",
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  "version": "20250509",
  "name": "PIM_Diabetes_Testing_Supplies",
  "title": "PIM_Diabetes_Testing_Supplies",
  "status": "active",
  "date": "2025-05-09T01:08:50-04:00",
  "publisher": "Optum Steward",
  "jurisdiction": [
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      "coding": [
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  "purpose": "(Clinical Focus: List of HCPCS codes for diabetes testing supplies),(Data Element Scope: Diabetic testing supplies),(Inclusion Criteria: Includes glucose monitors, lancets, needles, disinfectant wipes.),(Exclusion Criteria: N/A)",
  "compose": {
    "include": [
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "concept": [
          {
            "code": "A4206",
            "display": "Syringe with needle, sterile, 1 cc or less, each"
          },
          {
            "code": "A4207",
            "display": "Syringe with needle, sterile 2 cc, each"
          },
          {
            "code": "A4208",
            "display": "Syringe with needle, sterile 3 cc, each"
          },
          {
            "code": "A4209",
            "display": "Syringe with needle, sterile 5 cc or greater, each"
          },
          {
            "code": "A4210",
            "display": "Needle-free injection device, each"
          },
          {
            "code": "A4211",
            "display": "Supplies for self-administered injections"
          },
          {
            "code": "A4212",
            "display": "Non-coring needle or stylet with or without catheter"
          },
          {
            "code": "A4213",
            "display": "Syringe, sterile, 20 cc or greater, each"
          },
          {
            "code": "A4215",
            "display": "Needle, sterile, any size, each"
          },
          {
            "code": "A4216",
            "display": "Sterile water, saline and/or dextrose, diluent/flush, 10 ml"
          },
          {
            "code": "A4217",
            "display": "Sterile water/saline, 500 ml"
          },
          {
            "code": "A4218",
            "display": "Sterile saline or water, metered dose dispenser, 10 ml"
          },
          {
            "code": "A4220",
            "display": "Refill kit for implantable infusion pump"
          },
          {
            "code": "A4221",
            "display": "Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)"
          },
          {
            "code": "A4222",
            "display": "Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)"
          },
          {
            "code": "A4223",
            "display": "Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)"
          },
          {
            "code": "A4224",
            "display": "Supplies for maintenance of insulin infusion catheter, per week"
          },
          {
            "code": "A4225",
            "display": "Supplies for external insulin infusion pump, syringe type cartridge, sterile, each"
          },
          {
            "code": "A4226",
            "display": "Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week"
          },
          {
            "code": "A4230",
            "display": "Infusion set for external insulin pump, non needle cannula type"
          },
          {
            "code": "A4231",
            "display": "Infusion set for external insulin pump, needle type"
          },
          {
            "code": "A4232",
            "display": "Syringe with needle for external insulin pump, sterile, 3 cc"
          },
          {
            "code": "A4233",
            "display": "Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each"
          },
          {
            "code": "A4234",
            "display": "Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each"
          },
          {
            "code": "A4235",
            "display": "Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each"
          },
          {
            "code": "A4236",
            "display": "Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each"
          },
          {
            "code": "A4238",
            "display": "Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
          },
          {
            "code": "A4239",
            "display": "Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
          },
          {
            "code": "A4244",
            "display": "Alcohol or peroxide, per pint"
          },
          {
            "code": "A4245",
            "display": "Alcohol wipes, per box"
          },
          {
            "code": "A4246",
            "display": "Betadine or phisohex solution, per pint"
          },
          {
            "code": "A4247",
            "display": "Betadine or iodine swabs/wipes, per box"
          },
          {
            "code": "A4248",
            "display": "Chlorhexidine containing antiseptic, 1 ml"
          },
          {
            "code": "A4250",
            "display": "Urine test or reagent strips or tablets (100 tablets or strips)"
          },
          {
            "code": "A4252",
            "display": "Blood ketone test or reagent strip, each"
          },
          {
            "code": "A4253",
            "display": "Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips"
          },
          {
            "code": "A4255",
            "display": "Platforms for home blood glucose monitor, 50 per box"
          },
          {
            "code": "A4256",
            "display": "Normal, low and high calibrator solution / chips"
          },
          {
            "code": "A4257",
            "display": "Replacement lens shield cartridge for use with laser skin piercing device, each"
          },
          {
            "code": "A4258",
            "display": "Spring-powered device for lancet, each"
          },
          {
            "code": "A4259",
            "display": "Lancets, per box of 100"
          },
          {
            "code": "A9276",
            "display": "Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply"
          },
          {
            "code": "A9277",
            "display": "Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system"
          },
          {
            "code": "A9278",
            "display": "Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system"
          },
          {
            "code": "E0607",
            "display": "Home blood glucose monitor"
          },
          {
            "code": "E0784",
            "display": "External ambulatory infusion pump, insulin"
          },
          {
            "code": "E1399",
            "display": "Durable medical equipment, miscellaneous"
          },
          {
            "code": "E2100",
            "display": "Blood glucose monitor with integrated voice synthesizer"
          },
          {
            "code": "E2101",
            "display": "Blood glucose monitor with integrated lancing/blood sample"
          },
          {
            "code": "K0553",
            "display": "Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
          },
          {
            "code": "K0554",
            "display": "Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system"
          },
          {
            "code": "S5560",
            "display": "Insulin delivery device, reusable pen; 1.5 ml size"
          },
          {
            "code": "S5561",
            "display": "Insulin delivery device, reusable pen; 3 ml size"
          },
          {
            "code": "S8490",
            "display": "Insulin syringes (100 syringes, any size)"
          }
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:04f6aa62-47c9-45d9-a1ca-249fd6c0abd1",
    "timestamp": "2025-05-23T17:54:22-04:00",
    "total": 52,
    "contains": [
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4206",
        "display": "Syringe with needle, sterile, 1 cc or less, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4207",
        "display": "Syringe with needle, sterile 2 cc, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4208",
        "display": "Syringe with needle, sterile 3 cc, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4209",
        "display": "Syringe with needle, sterile 5 cc or greater, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4210",
        "display": "Needle-free injection device, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4211",
        "display": "Supplies for self-administered injections"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4212",
        "display": "Non-coring needle or stylet with or without catheter"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4213",
        "display": "Syringe, sterile, 20 cc or greater, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4215",
        "display": "Needle, sterile, any size, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4216",
        "display": "Sterile water, saline and/or dextrose, diluent/flush, 10 ml"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4217",
        "display": "Sterile water/saline, 500 ml"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4218",
        "display": "Sterile saline or water, metered dose dispenser, 10 ml"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4220",
        "display": "Refill kit for implantable infusion pump"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4221",
        "display": "Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4222",
        "display": "Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4223",
        "display": "Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4224",
        "display": "Supplies for maintenance of insulin infusion catheter, per week"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4225",
        "display": "Supplies for external insulin infusion pump, syringe type cartridge, sterile, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4226",
        "display": "Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4230",
        "display": "Infusion set for external insulin pump, non needle cannula type"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4231",
        "display": "Infusion set for external insulin pump, needle type"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4232",
        "display": "Syringe with needle for external insulin pump, sterile, 3 cc"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4233",
        "display": "Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4234",
        "display": "Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4235",
        "display": "Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4236",
        "display": "Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4238",
        "display": "Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4239",
        "display": "Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4244",
        "display": "Alcohol or peroxide, per pint"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4245",
        "display": "Alcohol wipes, per box"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4246",
        "display": "Betadine or phisohex solution, per pint"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4247",
        "display": "Betadine or iodine swabs/wipes, per box"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4248",
        "display": "Chlorhexidine containing antiseptic, 1 ml"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4250",
        "display": "Urine test or reagent strips or tablets (100 tablets or strips)"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4252",
        "display": "Blood ketone test or reagent strip, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4253",
        "display": "Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4255",
        "display": "Platforms for home blood glucose monitor, 50 per box"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4256",
        "display": "Normal, low and high calibrator solution / chips"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4257",
        "display": "Replacement lens shield cartridge for use with laser skin piercing device, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4258",
        "display": "Spring-powered device for lancet, each"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A4259",
        "display": "Lancets, per box of 100"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A9276",
        "display": "Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A9277",
        "display": "Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "A9278",
        "display": "Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "E0607",
        "display": "Home blood glucose monitor"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "E0784",
        "display": "External ambulatory infusion pump, insulin"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "E1399",
        "display": "Durable medical equipment, miscellaneous"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "E2100",
        "display": "Blood glucose monitor with integrated voice synthesizer"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "E2101",
        "display": "Blood glucose monitor with integrated lancing/blood sample"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "S5560",
        "display": "Insulin delivery device, reusable pen; 1.5 ml size"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "S5561",
        "display": "Insulin delivery device, reusable pen; 3 ml size"
      },
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "version": "2025",
        "code": "S8490",
        "display": "Insulin syringes (100 syringes, any size)"
      }
    ]
  }
}