CGM, Diabetic Shoe & Diabetes Supply HCPCS Codes
Continuous glucose monitors, blood glucose monitors and test supplies, and therapeutic shoes for people with diabetes each have their own codes and coverage policy. This category spans 18 active HCPCS codes, 16 of them with a 2026 Medicare DMEPOS fee. Coverage is set by LCD L33822 (Glucose Monitors); LCD L33369 (Therapeutic Shoes for Persons with Diabetes).
Equipment in this category
Medicare coverage policy
All diabetes devices and supplies codes
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| E2102 | Adjunctive, non-implanted continuous glucose monitor or receiver | Carrier judgment | $189.08–$239.22 (NU) | 10,777 (2024) |
| E2103 | Non-adjunctive, non-implanted continuous glucose monitor or receiver | Carrier judgment | $256.09–$334.44 (NU) | 297,173 (2024) |
| A4238 | Supply allowance for adjunctive, non-implanted continuous glucose monitor (CGM), includes all supplies and accessories, 1 month supply = 1 unit of service | Carrier judgment | $280.71 (KF) | 161,814 (2024) |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (CGM), includes all supplies and accessories, 1 month supply = 1 unit of service | Carrier judgment | $273.28 | 7,094,388 (2024) |
| E0607 | Home blood glucose monitor | Special coverage instructions apply | $95.23–$108.55 (NU) | 155,515 (2024) |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | Special coverage instructions apply | $8.32 (NU) | 6,721,711 (2024) |
| A5500 | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe | Special coverage instructions apply | $90.63 | 439,506 (2024) |
| A5501 | For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe | Special coverage instructions apply | $271.80 | 3,443 (2024) |
| A5503 | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe | Special coverage instructions apply | $45.79 | 782 (2024) |
| A5504 | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe | Special coverage instructions apply | $45.79 | 490 (2024) |
| A5505 | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe | Special coverage instructions apply | $45.79 | 279 (2024) |
| A5506 | For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe | Special coverage instructions apply | $45.79 | 97 (2024) |
| A5507 | For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe | Special coverage instructions apply | $45.79 | 415 (2024) |
| A5508 | For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe | Special coverage instructions apply | — | — |
| A5510 | For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe | Special coverage instructions apply | — | — |
| A5512 | For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each | Special coverage instructions apply | $36.96 | 635,763 (2024) |
| A5513 | For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | Special coverage instructions apply | $55.16 | 256,912 (2024) |
| A5514 | For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each | Special coverage instructions apply | $55.16 | 367,492 (2024) |
Frequently asked questions
Which HCPCS codes are used for diabetes devices and supplies?
A4239 (Non-adju cgm supply allow); A4253 (Blood glucose/reagent strips); A5512 (Multi den insert direct form); A5500 (Diab shoe for density insert); A5514 (Mult den insert dir carv/cam).
Which Medicare policy covers diabetes devices and supplies?
L33822: Glucose Monitors; L33369: Therapeutic Shoes for Persons with Diabetes.
Which diabetes devices and supplies codes does Medicare pay for most often?
A4239: 7,094,388 services in 2024; A4253: 6,721,711 services in 2024; A5512: 635,763 services in 2024; A5500: 439,506 services in 2024; A5514: 367,492 services in 2024.
Next steps
- Run a reimbursement report for a device billed under A4239
- Watch A4239 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A4239
Sources: CMS HCPCS Level II; CMS DMEPOS fee schedule 2026; CMS Medicare Coverage Database. Not billing or legal advice.