Medicare National Coverage Determinations (NCD) Manual (Pub. 100-03), Ch. 1 § 40.4
Insulin Syringe
40.4 - Insulin Syringe
(Rev. 1, 10-03-03)
CIM 45-3
Medical supplies are covered under §1861(s)(2)(A) of the Act only when they are
furnished incident to a physician’s professional services. To be covered under this
provision an insulin syringe must have been used by the physician or under his/her direct
personal supervision, and the insulin injection must have been given in an emergency
situation (e.g., diabetic coma).
The use of an insulin syringe by a diabetic would not meet the requirements of
§1861(s)(2)(A) of the Act. See the Medicare Benefit Policy Manual, Chapter 15,
“Covered Medical and Other Health Services,” §30.