Table of content for "Adju cgm supply allowance" (HCPCS A4238)
General information on the “A4238” code
HCPCS Code: A4238
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
Original information is taken from A4238 page
Pricing indicators
Pricing Indicator Code 1: 34 – DME supplies (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1E – Other DME
Type Of Service 1: 9 – Other medical items or services
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20220401
Code Effective Date: 20230101
Action Code: N – No maintenance for this code