A9269 Programable ingest capsule
Also known as: programmable pill, smart capsule, electronic monitor
Programmable ingestible capsule for swallowing and physiologic monitoring.
In Plain Language
tracking pill; electronic swallowable; monitoring device
Clinical Context
Used for gastrointestinal and physiologic monitoring in specialized settings. Provides real-time data collection through advanced technology.
RVU Information
CPT A9269 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A9269?
CPT A9269 (Programable ingest capsule) is a A Codes code. Programmable ingestible capsule for swallowing and physiologic monitoring.
Does Medicare cover A9269?
Medicare coverage for A9269 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for gastrointestinal and physiologic monitoring in specialized settings. Provides real-time data collection through advanced technology. A physician order is typically required.
When is CPT A9269 used?
Used for gastrointestinal and physiologic monitoring in specialized settings. Provides real-time data collection through advanced technology.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.