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: supplies month monitor glucose allowance service supply continuous

Short Description	Non-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