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See a sample rate comparisonHCPCS A4236 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, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Replacement Batteries |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4236 |
National average reimbursement for HCPCS A4236 by major payers:
$1.05
$0.96
$0.95
$1.64
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HCPCS A4236
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$1.96Published rateNortheast Medical Equipment Inc, North Country Medical
$1.10Published rateHomecare Concepts Inc
Homecare Concepts, Inc.
$0.76Published rateElite Medical Supply
$0.75Published rateChristopher Raio
St Francis Hospital
$0.46Published rate
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See a sample payer proposalHCPCS A4236 vs. Other Replacement Batteries Codes
The HCPCS A4236 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 A4236 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 |
|---|---|---|
| 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 |
| A4238-HCPCS | Moderate | Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4236. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4236 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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