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
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Non-adju cgm supply allow
HCPCS Coverage Code
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C = Carrier judgment
HCPCS Action Code
-
A = Add procedure or modifier code
HCPCS Action Effective Date
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January 01, 2023
HCPCS Code Added Date
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January 01, 2023
HCPCS Pricing Indicator Code
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34 = DME supplies(price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code
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A = Not applicable as HCPCS priced under one methodology
HCPCS Type Of Service Code
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9 = Other medical items or services
HCPCS Anesthesia Base Unit Quantity
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0