Question 1

What is HCPCS code A9277?

Accepted Answer

HCPCS code A9277 is "External transmitter, cgm". Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system

Question 2

What category is A9277 in?

Accepted Answer

A9277 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A9277?

Accepted Answer

Use A9277 when billing for external transmitter, cgm. 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 A9277 covered by Medicare?

Accepted Answer

Coverage for A9277 (External transmitter, cgm) 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 A9277?

Accepted Answer

Documentation for A9277 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).