S5565 Insulin cartridge 150 u

Insulin cartridge for use in insulin delivery device other than pump; 150 units

Medicare pricing for S5565

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for S5565

Payer coverage policies that name S5565

S5565 appears in 3 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaComplementary and Alternative Medicine (0388)listed, no stance (range S5550-S5571)Jun 25, 2026payer document
AetnaDiabetes Tests, Programs and Supplies (0070)covered if criteria are metFeb 20, 2026payer document
AetnaIntermittent Intravenous Insulin Therapy (0742)listed, no stance (range S5550-S5571)Nov 26, 2025payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • CO: $0.34 (health_first_colorado), effective Jul 1, 2026
  • ND: $0.00 (physician), effective Aug 1, 2026

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.