All PlansAdministrativeMedium impact
Medical device correction: Omnipod 5 (Insulet – March 2026)
UPMC Health Plan·Endocrinology, Internal Medicine, Family Medicine +2 more·Pharmacy
Effective date
Mar 12, 2026
We identified it
Aug 7, 2026
Summary
Insulet is issuing a medical device correction for Omnipod 5 insulin pods due to potential inner tubing tears that may cause insulin leakage and inadequate delivery, leading to dangerous high blood glucose levels and diabetic ketoacidosis (DKA). Affected patients should check omnipod.com/check-pods to determine if their pods are impacted and request free replacement pods. Billing teams should be aware that patients may seek emergency care or hospitalization related to this device issue, but no billing code changes are required—this is a patient safety notification.
Action Required
No direct billing action required. However, billing and patient service teams should: (1) Be prepared for potential increase in emergency department visits or hospitalizations related to hyperglycemia and DKA from affected Omnipod 5 users through March 2026; (2) When processing claims for affected patients, flag those with recent Omnipod 5 use who present with high blood glucose, DKA, or emergency care to verify device recall status; (3) Ensure claims for emergency care related to device-related hyperglycemia/DKA are not denied—these are covered complications; (4) Direct patient inquiries about the recall to Insulet at 1-800-641-2049 or omnipod.com/check-pods. No system updates or prior authorization changes needed.