2025 HCPCS Code A4239

Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service

TAGS: supply supplies glucose monitor service month allowance continuous
Short DescriptionNon-adju cgm supply allow
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code C - Carrier judgment
HCPCS Code Added Date January 01, 2023
HCPCS Action Effective Date January 01, 2023
HCPCS Pricing Indicator Code 34 - DME supplies (price subject to floors and ceilings)
HCPCS Type Of Service Code 9 - Other medical items or services
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number

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