A9270 HCPCS code: Non-covered item or service
A9270 is the HCPCS Level II code for non-covered item or service. Its Medicare coverage code is M (Non-covered by Medicare): Medicare does not cover this item or service.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | M — Non-covered by Medicare |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 1986-01-01 |
| Last action effective | 2002-01-01 |
Medicare policy articles for this code
- A52457: Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52458: Automatic External Defibrillators - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52459: Canes and Crutches - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52460: Cold Therapy - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52461: Commodes - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52463: Facial Prostheses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52464: Glucose Monitor - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52465: Knee Orthoses - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52466: Nebulizers - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52467: Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52469: Speech Generating Devices (SGD) - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52479: Oral Anticancer Drugs - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52487: Ostomy Supplies - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52489: Pressure Reducing Support Surfaces - Group 1 - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52500: Spinal Orthoses: TLSO and LSO - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52501: Therapeutic Shoes for Persons with Diabetes - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52503: Walkers - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52504: Wheelchair Options/Accessories - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52511: Negative Pressure Wound Therapy Pumps - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52512: Oral Appliances for Obstructive Sleep Apnea - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52513: Osteogenesis Stimulators - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52517: Respiratory Assist Devices - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52518: Seat Lift Mechanisms - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52519: Suction Pumps - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52521: Urological Supplies - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (6,824 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| E08.610 | Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy | 3 |
| E09.610 | Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy | 3 |
| E10.610 | Type 1 diabetes mellitus with diabetic neuropathic arthropathy | 3 |
| E11.610 | Type 2 diabetes mellitus with diabetic neuropathic arthropathy | 3 |
| E08.00 | Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 2 |
| E08.01 | Diabetes mellitus due to underlying condition with hyperosmolarity with coma | 2 |
| E08.10 | Diabetes mellitus due to underlying condition with ketoacidosis without coma | 2 |
| E08.11 | Diabetes mellitus due to underlying condition with ketoacidosis with coma | 2 |
| E08.21 | Diabetes mellitus due to underlying condition with diabetic nephropathy | 2 |
| E08.22 | Diabetes mellitus due to underlying condition with diabetic chronic kidney disease | 2 |
Showing 10 of 6,824. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for A9270
- 1986-01-01: A9270 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 A9270?
A9270 is the HCPCS Level II code for non-covered item or service. Short descriptor: "Non-covered item or service".
Does Medicare cover A9270?
Coverage code M — Non-covered by Medicare. Medicare does not cover this item or service.
Which diagnoses support coverage for A9270?
Medicare policy articles that cite A9270 list 6,824 covered ICD-10-CM diagnosis codes across 25 articles. The most cited include E08.610 (Diabetes mellitus due to underlying condition with diabetic neuropathic arthropathy), E09.610 (Drug or chemical induced diabetes mellitus with diabetic neuropathic arthropathy), E10.610 (Type 1 diabetes mellitus with diabetic neuropathic arthropathy). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Related A92 codes
- A9268 — Programmer for transient, orally ingested capsule
- A9269 — Programable, transient, orally ingested capsule, for use with external programmer, per month
- 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
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under A9270
- Watch A9270 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A9270
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.