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See a sample rate comparisonHealthcare 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 |
| Medicaid Fee Schedule | View Medicaid rates for A4235 |
National average reimbursement for HCPCS A4235 by major payers:

$0.93

$1.11

$1.05

$1.25
Choose a payer to see a sample of rates for HCPCS A4235.
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A4235 vs. Other Replacement Batteries Codes
The HCPCS A4235 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 A4235 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 |
|---|---|---|
| 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 |
| A4236-HCPCS | Low | Replacement battery, silver oxide, 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 A4235. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4235 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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