Print Needle-Free Insulin Injection Systems

Needle-Free Insulin Injection Systems

 

DESCRIPTION

An alternative to needles and syringes for insulin administration are needle-free insulin injection systems or jet injectors. These devices eject a narrow stream of insulin through a fine-holed nozzle under high pressure and at high speed so that the insulin penetrates the skin and is dispersed subcutaneously.

The goals of injecting insulin with needle-free insulin injection systems, or jet injectors, in the treatment of diabetes are to prevent long-term complications by ensuring optimal glycemic control and to encourage compliance with intensive therapy in patients with needle phobias or who experience pain upon injection.

 

POLICY

Needle-Free Insulin Injection Systems are considered investigational.

 

POLICY EXCEPTIONS

None

 

POLICY GUIDELINES

Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated and as such therefore is not considered medically necessary.

The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language.

 

POLICY HISTORY

5/2001: Approved by Medical Policy Advisory Committee (MPAC)

7/13/2001: Code Reference section completed, HCPCS A4210 added

2/13/2002: Investigational definition added

5/2/2002: Type of Service and Place of Service deleted

8/15/2005: Code Reference section reviewed, no changes

10/23/2006: Policy reviewed, no changes

 

SOURCE(S)

Hayes Medical Technology Directory

 

CODE REFERENCE

This may not be a comprehensive list of procedure codes applicable to this policy.

Investigational Codes

Code Number

Description

CPT-4
  
ICD-9 Procedure
  
ICD-9 Diagnosis
  

HCPCS

A4210

Needle-free injection device, each

 

Top