A9269 HCPCS code: Programable, transient, orally ingested capsule, for use with external programmer, per month
A9269 is the HCPCS Level II code for programable, transient, orally ingested capsule, for use with external programmer, per month. 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 A9269
- 2023-10-01: A9269 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 A9269?
A9269 is the HCPCS Level II code for programable, transient, orally ingested capsule, for use with external programmer, per month. Short descriptor: "Programable ingest capsule".
Does Medicare cover A9269?
Coverage code S — Non-covered by Medicare statute. Medicare is barred by law from covering it.
Related A92 codes
- A9268 — Programmer for transient, orally ingested capsule
- 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 A9269
- Watch A9269 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9269
Sources: CMS HCPCS Level II release October 2026; 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.