A9278 External receiver, cgm sys
Also known as: CGM receiver, glucose receiver, monitor display
External receiver for continuous glucose monitoring system for displaying glucose readings.
In Plain Language
data reader; glucose display; monitor screen
Clinical Context
Used with continuous glucose monitoring systems to receive and display real-time glucose data from sensor.
RVU Information
CPT A9278 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 A9278?
CPT A9278 (External receiver, cgm sys) is a A Codes code. External receiver for continuous glucose monitoring system for displaying glucose readings.
Does Medicare cover A9278?
Medicare coverage for A9278 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used with continuous glucose monitoring systems to receive and display real-time glucose data from sensor. A physician order is typically required.
When is CPT A9278 used?
Used with continuous glucose monitoring systems to receive and display real-time glucose data from sensor.
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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.