"Durable Medical Equipment,"							
"Prosthetics, Orthotics, and Supplies"							
(DMEPOS)							
April 2020 Former CBA National Mail Order Diabetic Testing Supply Fee Schedule (National Mail-Order CBA)							
							
HCPCS	Mod	Mod2	Mod3	CATG	National Mail-Order	Description	
A4233	NU	KL		IN	0.54	Alkalin batt for glucose mon	
A4234	NU	KL		IN	2.48	J-cell batt for glucose mon	
A4235	NU	KL		IN	1.05	Lithium batt for glucose mon	
A4236	NU	KL		IN	1.22	Silvr oxide batt glucose mon	
A4253	NU	KL		IN	8.73	Blood glucose/reagent strips	
A4256	KL			SU	3.55	Calibrator solution/chips	
A4258	KL			SU	2.23	Lancet device each	
A4259	KL			SU	1.49	Lancets per box	
							
							
							
							
Note:  the above National mail order fee schedule amounts (KL modifier) are for payment of mail order diabetic testing							
"supplies in all parts of the United States, including the 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands,"							
Guam and the American Samoa.  Non-mail order fee schedule amounts for diabetic supplies (non-KL) are available on the DMEPOS fee schedule file. 							
