HCPCS Code A4255

Platforms for home blood glucose monitor, 50 per box
Code effective Jan 01, 2002

HCPCS Section
Transportation Services Including Ambulance, Medical & Surgical Supplies

A4255 is a valid 2026 HCPCS code meaning Platforms for home blood glucose monitor, 50 per box or (Glucose monitor platforms) for short. HCPCS A4255 has been effective since 01/01/2002 and applies to Lump sum purchase of DME, prosthetics, orthotics.


HCPCS Code Details - A4255

HCPCS Level II Code
Section A - Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4255
Description

Long description:
Platforms for home blood glucose monitor, 50 per box

Short description:
Glucose monitor platforms

HCPCS Pricing indicator 34 - DME supplies (price subject to floors and ceilings)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code D1E - Other DME
HCPCS Action code N - No maintenance for this code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 2002
Date added Added Jan 01, 1997

See also

  • HCPCS A4253 · Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips

  • HCPCS A4256 · Normal, low and high calibrator solution / chips

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”


HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.