A4226 HCPCS Level II code: Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week
A4226 is the HCPCS code for “Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4226Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week
Short description: Weekly supply maint cgs pump
HCPCS · United States
Medicare details
The indicators CMS publishes with A4226 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Not payable by Medicare
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Other medical items or services
- BETOS category
- Undefined codes
- Added
- Jan 1, 2020
Where A4226 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4226Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code A4226 mean?
A4226 is the HCPCS code for “Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4226?
CMS lists A4226’s Medicare coverage as “Not payable by Medicare” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside A4226
All A codesA4220Refill kit for implantable infusion pumpA4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)A4223Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)A4224Supplies for maintenance of insulin infusion catheter, per weekA4225Supplies for external insulin infusion pump, syringe type cartridge, sterile, eachA4228Supplies for maintenance of non-insulin, device-drug combination infusion catheter, per weekA4230Infusion set for external insulin pump, non needle cannula typeA4231Infusion set for external insulin pump, needle typeA4232Syringe with needle for external insulin pump, sterile, 3 ccA4233Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, eachA4234Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each