HCPCS code A9278 — External receiver, cgm sys.
Status: Active.
Effective Jan 1, 2023.
Source: CMS HCPCS Level II.
A9278
ActiveExternal receiver, cgm sys
Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Jan 1, 2023
Code type:
alphanumeric
OPPS Status:
E1
— Items / services not paid by Medicare
MUE — Medically Unlikely Edits
Maximum units of A9278 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 0 |
| Outpatient Hospital | 0 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2023-Q1External receiver, cgm sys