Package | us.nlm.vsac |
Type | ValueSet |
Id | Id |
FHIR Version | R4 |
Source | http://fhir.org/packages/us.nlm.vsac/https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1078.676/expansion |
Url | http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.676 |
Version | 20250509 |
Status | active |
Date | 2025-05-09T01:08:50-04:00 |
Name | PIM_Diabetes_Testing_Supplies |
Title | PIM_Diabetes_Testing_Supplies |
Experimental | False |
Realm | us |
Authority | hl7 |
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) |
No resources found
CodeSystem | |
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets ![]() | Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes |
http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets ![]() | Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes |
{
"resourceType" : "ValueSet",
"id" : "2.16.840.1.113762.1.4.1078.676",
"meta" : {
"versionId" : "12",
"lastUpdated" : "2025-05-09T01:08:50.000-04:00",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/shareablevalueset",
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-valueset-cqfm",
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm"
]
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/valueset-author",
"valueContactDetail" : {
"name" : "Optum Author"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
"valueDate" : "2025-05-09"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
"valueDate" : "2025-05-09"
}
],
"url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1078.676",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113762.1.4.1078.676"
}
],
"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" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"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:bc187de0-3e3b-4967-8830-f1eb68b67382",
"timestamp" : "2025-05-11T03:03:06-04:00",
"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)"
}
]
},
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.