Insulin
Medicare Benefit Policy Manual (CMS Pub. 100-02, Ch. 7 §40.1.2.4A)
Insulin is customarily self-injected by patients or is injected by their families. However, when it is documented that the patient is either physically or mentally unable to self-inject insulin and there is no other person able and willing to inject the patient, the injections would be considered a reasonable and necessary skilled nursing service. No endpoint statement is needed when the nurse is administering medically necessary daily insulin injections.
Updated: 07.30.12