HCPCS A4234 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medical And Surgical Supplies • Replacement Batteries |
| Complexity Level | Low |
National average reimbursement for HCPCS A4234 by major payers:
$2.15
$2.03
$1.95
$2.42
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS A4234 | ||||||
United | A4234 | $5.19 | 1073502985 - CHU CHEN | 42484572 - (MA) MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | A4234 | $5.19 | 1073502985 - CHU CHEN | 42484572 - (MA) MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | A4234 | $5.19 | 1073502985 - CHU CHEN | 42484572 - (MA) MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | A4234 | $1.52 | 1588270573 - THE CHAUTAUQUA CENTER, INC | 273512018 - (NY) CHAUTAUQUA CENTER INC | NY | Community/Retail Pharmacy (3336C0003X) |
United | A4234 | $2.16 | 1619590940 - PRO2 LLC | 161611306 - (NY) PRO 2 LLC | NY | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | A4234 | $1.17 | 1811438468 - ALL PRO MEDICAL SUPPLIES, INC | 883346305 | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4234 | $1.76 | 1043302722 - RICHARD PERELMUT, PEARL ORTHOPEDIC FOOTWEAR | 201417954 | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4234 | $3.11 | 1659904613 - TWIN TIER MANAGEMENT CORP INC | 232209439 - TWIN TIER MANAGEMENT CORP INC | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4234 | $2.59 | 1376513457 - UNDERNEATH IT ALL INC | 133681581 - (NY) UNDERNEATH IT ALL INC | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4234 | $1.65 | 1194773218 - A PERSONAL TOUCH GARMENT CORP., A PERSONAL TOUCH BOUTIQUE | 112893279 | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4234 | $2.05 | 1689882177 - SLEEP SERVICES OF AMERICA | 232833187 - SLEEP SERVICES OF AMERICA, INC. | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4234 | $3.31 | 1205036142 - PERFORMANCE ORTHOPEDIC DESIGN, LLC, MOUNTAIN ORTHOTIC AND PROSTHETIC SERVICES | 830440908 - (NY) PERFORMANCE ORTHOPEDIC DESIGN LLC DBA MTN O&P SVCS | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4234 | $3.31 | 1164427365 - CLINICAL PROSTHETICS & ORTHOTICS, LLC | 141829449 | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4234 | $2.31 | 1750363362 - IMS CONSULTANTS | 112651276 | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4234 | $1.62 | 1831759497 - NEW YORK RECOVERY DME CORP, MOONWALK ORTHOTICS | 834153700 - (NY) NEW YORK RECOVERY DME CORP | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS A4234 vs. Other Replacement Batteries Codes
The HCPCS A4234 code is part of the Medical And Surgical Supplies services used for Replacement Batteries. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4234 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A4233-HCPCS | Low | Replacement battery, alkaline (other than J cell), for use with medically necessary home blood glucose monitor owned by patient, each |
| A4234-HCPCS | Low | Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, each |
| A4235-HCPCS | Low | Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4234. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4234 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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