Question 1

What is HCPCS code A4253?

Accepted Answer

HCPCS code A4253 is "Blood glucose/reagent strips". Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips

Question 2

What category is A4253 in?

Accepted Answer

A4253 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A4253?

Accepted Answer

Use A4253 when billing for blood glucose/reagent strips. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is A4253 covered by Medicare?

Accepted Answer

Coverage for A4253 (Blood glucose/reagent strips) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for A4253?

Accepted Answer

Documentation for A4253 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).