G9147 — Outpatient intravenous insulin treatment (oivit) either pulsatile or continuous, by any means, guided by the results of measurements for: respiratory quotient; and/or, urine urea nitrogen (uun); and/or, arterial, venous or capillary glucose; and/or potassium concentration
HCPCS/CPT
Prior Authorization
No Prior Auth Required
No active coverage policies found for this code (low confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Documentation Required
- No specific documentation requirements are stated in this Clinical Policy Bulletin.
- The policy explicitly states that diagnostic measurements often used in the context of intermittent IV insulin therapy (respiratory quotient, urine urea nitrogen, arterial/venous/capillary glucose, potassium concentration) are of unproven clinical value in this context and thus are not supported by the policy; documentation of such testing does not make the therapy medically necessary per this policy.