Syringe with needle for external insulin pump, sterile, 3 cc
Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)
Medically Unlikely Edits (effective October 1, 2026)
Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 0 units per day (clinical), rationale: CMS Policy
DME supplier: max 0 units per day (clinical), rationale: Published Contractor Policy
Medicare pricing for A4232
Physician Fee Schedule (CY 2026, RVU26D)
Status I: not valid for Medicare (Medicare uses another code).
Payer policies and prior authorization for A4232
Payer coverage policies that name A4232
A4232 appears in 6 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Blue Shield of California, Capital Blue Cross.
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.