Table of content for "Glucose monitor w cartridge" (HCPCS E2104)
General information on the “E2104” code
HCPCS Code: E2104
Long Description: Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge
Short Description: Glucose monitor w cartridge
Original information is taken from E2104 page
Pricing indicators
Pricing Indicator Code 1: 32 – Inexpensive & routinely purchased DME (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 Issues Manual Reference Section Number 1: 60-11
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1E – Other DME
Type Of Service 1: A – Used durable medical equipment (DME)
Type Of Service 2: P – Lump sum purchase of DME, prosthetics, orthotics
Type Of Service 3: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20240401
Code Effective Date: 20240401
Action Code: N – No maintenance for this code