A9270 Non-covered item or service
Also known as: non-covered service, excluded item, non-payable code
Non-covered item or service determined not payable by insurance.
In Plain Language
not paid for by insurance; excluded service; out-of-pocket item
Clinical Context
Used to identify items and services that are not covered by Medicare or other insurance programs. Important for billing and patient financial counseling.
RVU Information
CPT A9270 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 A9270?
CPT A9270 (Non-covered item or service) is a A Codes code. Non-covered item or service determined not payable by insurance.
Does Medicare cover A9270?
Medicare coverage for A9270 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used to identify items and services that are not covered by Medicare or other insurance programs. Important for billing and patient financial counseling. A physician order is typically required.
When is CPT A9270 used?
Used to identify items and services that are not covered by Medicare or other insurance programs. Important for billing and patient financial counseling.
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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.