A6614 Sup ext oculr neg pres pump

Supplies and accessories for use with an external ocular negative pressure pump, any type, per month

Medicare pricing for A6614

Physician Fee Schedule (CY 2026, RVU26D)

Status X: statutory exclusion, not paid under the PFS.

Payer policies and prior authorization for A6614

Payer coverage policies that name A6614

A6614 appears in 1 coverage policy from Anthem.

PayerPolicyRole in policyReviewedDocument
AnthemOcular Pressure Adjusting Pump Systems (DME.00055)covered if criteria are metAug 13, 2026payer document

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.