A4239

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

Short Description

Non-adju cgm supply allow

HCPCS Coverage Code

C = Carrier judgment

HCPCS Action Code

A = Add procedure or modifier code

HCPCS Action Effective Date

January 01, 2023

HCPCS Code Added Date

January 01, 2023

HCPCS Pricing Indicator Code

34 = DME supplies(price subject to floors and ceilings)

HCPCS Multiple Pricing Indicator Code

A = Not applicable as HCPCS priced under one methodology

HCPCS Type Of Service Code

9 = Other medical items or services

A4239

Short Description

HCPCS Coverage Code

HCPCS Action Code

HCPCS Action Effective Date

HCPCS Code Added Date

HCPCS Pricing Indicator Code

HCPCS Multiple Pricing Indicator Code

HCPCS Type Of Service Code

HCPCS Anesthesia Base Unit Quantity