Question 1

What is HCPCS code A9276?

Accepted Answer

HCPCS code A9276 is "Disposable sensor, cgm sys". Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply

Question 2

What category is A9276 in?

Accepted Answer

A9276 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A9276?

Accepted Answer

Use A9276 when billing for disposable sensor, cgm sys. 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 A9276 covered by Medicare?

Accepted Answer

Coverage for A9276 (Disposable sensor, cgm sys) 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 A9276?

Accepted Answer

Documentation for A9276 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).