A9268 HCPCS code: Programmer for transient, orally ingested capsule
A9268 is the HCPCS Level II code for programmer for transient, orally ingested capsule. Its Medicare coverage code is S (Non-covered by Medicare statute): Medicare is barred by law from covering it.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | S — Non-covered by Medicare statute |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2023-10-01 |
| Last action effective | 2023-10-01 |
What changed for A9268
- 2023-10-01: A9268 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A9268?
A9268 is the HCPCS Level II code for programmer for transient, orally ingested capsule. Short descriptor: "Programmer orally ingest cap".
Does Medicare cover A9268?
Coverage code S — Non-covered by Medicare statute. Medicare is barred by law from covering it.
Related A92 codes
- A9269 — Programable, transient, orally ingested capsule, for use with external programmer, per month
- A9270 — Non-covered item or service
- A9272 — Wound suction, disposable, includes dressing, all accessories and components, any type, each
- A9273 — Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type
- A9274 — External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories
- A9275 — Home glucose disposable monitor, includes test strips
- A9276 — Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply
- A9277 — Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
- A9278 — Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system
- A9279 — Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified
- A9280 — Alert or alarm device, not otherwise classified
- A9281 — Reaching/grabbing device, any type, any length, each
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Next steps
- Run a reimbursement report for a device billed under A9268
- Watch A9268 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9268
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.