A4270 — Disposable endoscope sheath, each
A4270 is a HCPCS Level II code for disposable endoscope sheath, each. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusB
Bundled code. Payment is always bundled into another service. CMS: 'If RVUs are shown, they are not used for Medicare payment.'
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of A4270 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 3 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for A4270
- Long descriptor
- Disposable endoscope sheath, each
- Short descriptor
- Disposable endoscope sheath
- Added
- January 1, 1994
- BETOS
- P8D
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to A4270
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A4270 is not quite right, the correct code is very often within a few positions of it.
- A4262Temporary, absorbable lacrimal duct implant, each
- A4263Permanent, long term, non-dissolvable lacrimal duct implant, each
- A4264Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
- A4265Paraffin, per pound
- A4266Diaphragm for contraceptive use
- A4267Contraceptive supply, condom, male, each
- A4268Contraceptive supply, condom, female, each
- A4269Contraceptive supply, spermicide (e.g., foam, gel), each
- A4271Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests
- A4280Adhesive skin support attachment for use with external breast prosthesis, each
- A4281Tubing for breast pump, replacement
- A4282Adapter for breast pump, replacement
- A4283Cap for breast pump bottle, replacement
- A4284Breast shield and splash protector for use with breast pump, replacement
- A4285Polycarbonate bottle for use with breast pump, replacement
- A4286Locking ring for breast pump, replacement
Questions about A4270
What is HCPCS code A4270?
A4270 is a HCPCS Level II code for disposable endoscope sheath, each. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A4270?
The CMS HCPCS file marks A4270 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is A4270 paid under the physician fee schedule?
A4270 carries PFS status code B. Bundled code. Payment is always bundled into another service. CMS: 'If RVUs are shown, they are not used for Medicare payment.'