HCPCS Range Replacement Batteries

• 1 Replacement battery, alkaline (other than J cell), for use with medically necessary home blood glucose monitor owned by patient, each ( A4233 )

• 2 Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, each ( A4234 )

• 3 Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each ( A4235 )

• 4 Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each ( A4236 )

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

• 6 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service ( A4239 )