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HCPCS Level II/A-Codes/A9268

A9268 HCPCS Level II Code: Programmer for transient, orally ingested capsule

Medicare Coverage & Payment

  • Medicare coverage: Non-covered by Medicare statute (CMS coverage code S)
  • Payment category: Service not separately priced (pricing indicator 00)
  • BETOS: Z2 — Undefined codes
  • Last CMS action effective: October 1, 2023

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Official Registry Overview & Definition

Programmer for transient, orally ingested capsule is a HCPCS Level II code (A9268). CMS assigns coverage code S — Non-covered by Medicare statute. Short description: Programmer orally ingest cap.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to A9268 in its code family, with their registry titles.

  • A9269 — Programable, transient, orally ingested capsule, for use with external programmer, per month
  • A9270 — Non-covered item or service
  • A9272 — Wound suction, disposable, includes dressing, all accessories and components, any type, each
  • A9273 — Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type
  • A9274 — External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
  • A9275 — Home glucose disposable monitor, includes test strips
  • A9276 — Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply
  • A9277 — Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
  • A9278 — Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
  • A9279 — Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified