S5561 — Insulin delivery device, reusable pen; 3 ml size
S5561 is a HCPCS Level II code for insulin delivery device, reusable pen; 3 ml size. It belongs to the Temporary National Codes (Non-Medicare) section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusI
Not valid for Medicare purposes. Medicare uses another code.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for S5561
- Long descriptor
- Insulin delivery device, reusable pen; 3 ml size
- Short descriptor
- Insulin reuse pen 3 ml
- Added
- October 1, 2003
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to S5561
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If S5561 is not quite right, the correct code is very often within a few positions of it.
- S5521Home infusion therapy, all supplies (including catheter) necessary for a midline catheter insertion
- S5522Home infusion therapy, insertion of peripherally inserted central venous catheter (picc), nursing services only (no supplies or catheter included)
- S5523Home infusion therapy, insertion of midline venous catheter, nursing services only (no supplies or catheter included)
- S5550Insulin, rapid onset, 5 units
- S5551Insulin, most rapid onset (lispro or aspart); 5 units
- S5552Insulin, intermediate acting (nph or lente); 5 units
- S5553Insulin, long acting; 5 units
- S5560Insulin delivery device, reusable pen; 1.5 ml size
- S5565Insulin cartridge for use in insulin delivery device other than pump; 150 units
- S5566Insulin cartridge for use in insulin delivery device other than pump; 300 units
- S5570Insulin delivery device, disposable pen (including insulin); 1.5 ml size
- S5571Insulin delivery device, disposable pen (including insulin); 3 ml size
- S8030Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy
- S8032Low-dose computed tomography for lung cancer screeningterminated
- S8035Magnetic source imaging
- S8037Magnetic resonance cholangiopancreatography (mrcp)
Questions about S5561
What is HCPCS code S5561?
S5561 is a HCPCS Level II code for insulin delivery device, reusable pen; 3 ml size. It sits in the Temporary National Codes (Non-Medicare) section.
Does Medicare cover S5561?
The CMS HCPCS file marks S5561 as "Not payable by Medicare". Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
How is S5561 paid under the physician fee schedule?
S5561 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.