HCPCS Level II › A codes A4236 Silvr oxide batt glucose monReplacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each
Medicare coverage: Carrier judgment Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 0 units per day (clinical), rationale: CMS Policy Outpatient hospital: max 0 units per day (clinical), rationale: CMS Policy DME supplier: max 2 units per day (clinical), rationale: Clinical: Data Medicare pricing for A4236 DMEPOS fee schedule, July 2026 (DME26-C) NU (purchased, new), inexpensive or routinely purchased (IN): non-rural $1.16 in the contiguous states; $1.16 in AK, HI, PR and VI Physician Fee Schedule (CY 2026, RVU26D) Status X: statutory exclusion, not paid under the PFS.
Payer policies and prior authorization for A4236 Payer coverage policies that name A4236 A4236 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Diabetes Tests, Programs and Supplies (0070) covered if criteria are met Feb 20, 2026 payer document
Medicaid fee-for-service Prior authorization required or conditional in LA, MA, VA, WV.
AZ: $1.38 (dme), effective Oct 1, 2026 CO: $0.97 (chp_plus, non-facility), effective Jul 1, 2026 IL: $3.73 (dme), effective Jan 1, 2026 IN: $0.99 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2024 KY: $1.16 (dme), effective Jan 1, 2026 LA: $1.04 (dme), effective Jul 1, 2012 MD: $0.99 (dme), effective Apr 1, 2026 MS: $0.93 (comprehensive), effective Jul 1, 2026 ND: $0.00 (dme), effective Aug 1, 2026 NE: $2.16 (dme), effective Jul 1, 2026 OH: $0.95 (dme), effective Jan 1, 2024 OK: $1.16 (dme), effective Jan 1, 2026 TX: $1.16 (dmepos_tos_9_e_j_l_and_r, Medical Supplier (Dme), non-facility), effective Apr 1, 2019 VA: $1.48 (dme), effective Dec 1, 2026 VT: $0.99 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1.52 (medical_equipment_supplies), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.