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See a sample rate comparisonHCPCS A4238 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.
Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Replacement Batteries |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for A4238 |
National average reimbursement for HCPCS A4238 by major payers:
$232.45
$168.85
$201.90
$165.71
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HCPCS A4238
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$530.16Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$216.88Published rateJohn D. Archbold Memorial Hospital, Inc.
John D Archbold Memorial Hospital Inc
$156.63Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$144.58Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$96.38Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4238 vs. Other Replacement Batteries Codes
The HCPCS A4238 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 A4238 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 |
|---|---|---|
| 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 |
| A4239-HCPCS | Moderate | Supply allowance for non-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 A4238. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4238 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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