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HCPCS A4235 Fee Schedule

Last Verified: September 2026

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.

Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
Key FactDetail
Service Type

Medical And Surgical Supplies

Replacement Batteries

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for A4235

National average reimbursement for HCPCS A4235 by major payers:

bcbs

$0.93

uhc

$1.11

aetna

$1.05

cigna

$1.25

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Choose a payer to see a sample of rates for HCPCS A4235.

HCPCS A4235
5 of 25 sample ratesHigher to lower in this preview
  1. Liberty Health Supply, Inc

    Liberty Health Supply Inc

    NYDurable Medical Equipment & Medical SuppliesNPI 1902855729Tax ID 16-1580322

    $1.77Published rate
  2. The Healthcare Store, Inc.

    The Healthcare Store Inc

    NYDurable Medical Equipment & Medical SuppliesNPI 1013941004Tax ID 45-0469348

    $1.04Published rate
  3. Mountain Peaks Medical Supplies, Inc., Prime Care Medical Equipment

    Mountain Peaks Medical Supplies Inc

    NYDurable Medical Equipment & Medical SuppliesNPI 1518952472Tax ID 16-1533267

    $0.80Published rate
  4. Cayuga Medical Equipment, LLC

    Cayuga Medical Equipment LLC

    NYDurable Medical Equipment & Medical SuppliesNPI 1245970482Tax ID 87-2213610

    $0.64Published rate
  5. Good Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital

    Good Samaritan Hospital Inc

    GACritical Access HospitalNPI 1346209137Tax ID 26-1720984

    $0.40Published rate

National sample. Rates vary by location, specialty, and contract.

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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.

CodeComplexityDescription
A4234-HCPCSLowReplacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, each
A4235-HCPCSLowReplacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
A4236-HCPCSLowReplacement 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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