| 
 A4233  | 
  | 
 Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each 
| short | Alkalin batt for glucose mon |  
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period | 
|---|
  | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |  
  |  
| MUE | | Location | Value | Ajudication Indicator | Rationale | 
|---|
 | PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |  | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |  | DME | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |  
  |  
 
 | 
 
 
 | 
| 
 A4234  | 
  | 
 Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each 
| short | J-cell batt for glucose mon |  
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period | 
|---|
  | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |  
  |  
| MUE | | Location | Value | Ajudication Indicator | Rationale | 
|---|
 | PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |  | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |  | DME | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |  
  |  
 
 | 
 
 
 | 
| 
 A4235  | 
  | 
 Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each 
| short | Lithium batt for glucose mon |  
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period | 
|---|
  | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |  
  |  
| MUE | | Location | Value | Ajudication Indicator | Rationale | 
|---|
 | PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |  | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |  | DME | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |  
  |  
 
 | 
 
 
 | 
| 
 A4236  | 
  | 
 Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each 
| short | Silvr oxide batt glucose mon |  
| RVU | | CPT Modifier | Physician Component | Facility Practice | Nonfacility Practice | Professional Liability Insurance | Total Facility | Total Nonfacility | Global Period | 
|---|
  | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | XXX |  
  |  
| MUE | | Location | Value | Ajudication Indicator | Rationale | 
|---|
 | PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |  | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |  | DME | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |  
  |  
 
 | 
 
 
 |