A4255 – Platforms for home blood glucose monitor, 50 per box

HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental

Active code Special coverage instructions apply

HCPCS codeA4255
Long description
Platforms for home blood glucose monitor, 50 per box
Short description
Glucose monitor platforms
Pricing indicator
34 DME supplies
Medicare coverage
D Special coverage instructions apply
BETOS category
D1E Other DME
Added
January 1, 1997
Last change
January 1, 2002 – No change

Frequently asked questions

What is HCPCS code A4255?

A4255 is a HCPCS Level II code for platforms for home blood glucose monitor, 50 per box.

Does Medicare cover A4255?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby A codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.