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HCPCS Range Infusion Pumps and Supplies

• 1 IV pole ( E0776 )

• 2 Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater ( E0779 )

• 3 Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours ( E0780 )

• 4 Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient ( E0781 )

• 5 Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.) ( E0782 )

• 6 Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.) ( E0783 )

• 7 External ambulatory infusion pump, insulin ( E0784 )

• 8 Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement ( E0785 )

• 9 Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter) ( E0786 )

• 10 Parenteral infusion pump, stationary, single or multi-channel ( E0791 )

• 11 External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensing ( E0787 )