HCPCS A4235 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 A4235 by major payers:
$0.93
$1.11
$1.05
$1.25
| 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 A4235 | ||||||
United | A4235 | $2.20 | 1073502985 - CHU CHEN | 42484572 - (MA) MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | A4235 | $2.20 | 1073502985 - CHU CHEN | 42484572 - (MA) MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | A4235 | $1.07 | 1659007193 - TOTAL CARE MEDICAL SUPPLIES INC | 20685558 - (NY) ALL PRO MEDICAL SUPPLIES INC | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4235 | $1.66 | 1942378500 - SHERIDAN SURGICAL INC | 160815598 - (NY) SHERIDAN SURGICAL INC | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4235 | $2.80 | 1427185057 - MONTEFIORE MEDICAL CENTER, MONTEFIORE COMMUNITY PHARMACY @ MOSES | 131740114 - MONTEFIORE MEDICAL CENTER | NY | Community/Retail Pharmacy (3336C0003X) |
United | A4235 | $1.38 | 1174564975 - NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC | 61510989 - NEW ENGLAND ORTHOTIC & PROSTHETI | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4235 | $0.80 | 1821129628 - NORTHEAST HOME MEDICAL SUPPLIES INC. | 205112808 | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4235 | $1.04 | 1922001155 - ULTRAPEDICS LTD | 112734158 - (NY) ULTRAPEDICS LTD | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4235 | $0.75 | 1508840141 - CHOICE LIMB & BRACE | 201255007 | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4235 | $1.38 | 1720089089 - KINNEY HOMECARE EQUIPMENT AND SUPPLIES, INC. | 161303134 - (NY) KINNEY HOMECARE EQUIPMENT AND SUPPLIES INC | NY | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | A4235 | $2.14 | 1154460327 - NORTHERN ORTHOPEDIC LABORATORY, INC. | 161199255 - (NY) NORTHERN ORTHOPEDIC LABORATORY INC | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4235 | $0.60 | 1235205725 - LOUIS R. MACDONALD, DPM, PC | 113596022 - (NY) LOUIS R MACDONALD DPM PC | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4235 | $1.27 | 1568404127 - NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC | 61510989 - NEW ENGLAND ORTHOTIC & PROSTHETI | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4235 | $0.64 | 1194952630 - GOOD SAMARITAN HOSPITAL DME | 111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTER | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4235 | $1.34 | 1659458040 - ESCHEN PROSTHETIC & ORTHOTIC LABORATORIES, INC., ESCHEN P&O LABS. INC | 132707948 - ESCHEN PROSTHETIC & ORTHOTIC LAB | NY | Prosthetic/Orthotic Supplier (335E00000X) |
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 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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