A4238 – Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service

Long description

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

Short description

Adju cgm supply allowance

Pricing indicator

34 DME supplies

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

D1E Other DME

Added

April 1, 2022

Last change

January 1, 2023 – No change

Nearby A codes

• A4228 – Supplies for maintenance of non-insulin, device-drug combination infusion catheter, per week
• A4230 – Infusion set for external insulin pump, non needle cannula type
• A4231 – Infusion set for external insulin pump, needle type
• A4232 – Syringe with needle for external insulin pump, sterile, 3 cc
• A4233 – Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each
• A4234 – Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each
• A4235 – Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
• A4236 – Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each
• A4239 – Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
• A4244 – Alcohol or peroxide, per pint
• A4245 – Alcohol wipes, per box
• A4246 – Betadine or phisohex solution, per pint
• A4247 – Betadine or iodine swabs/wipes, per box
• A4248 – Chlorhexidine containing antiseptic, 1 ml
• A4250 – Urine test or reagent strips or tablets (100 tablets or strips)
• A4252 – Blood ketone test or reagent strip, each