A4271 — Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests
A4271 is a HCPCS Level II code for integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
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 statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
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 A4271 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.
- DME supplier
- 6 units MAI 3 — Date of Service Edit: Clinical · CMS Policy
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 A4271
- Long descriptor
- Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests
- Short descriptor
- Home lancing/test cartridges
- Added
- April 1, 2024
- BETOS
- D1E
- Pricing indicator
- 34 — DMEPOS
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.
DME supplies. Price subject to floors and ceilings.
Codes adjacent to A4271
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A4271 is not quite right, the correct code is very often within a few positions of it.
- 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
- A4270Disposable endoscope sheath, each
- 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
- A4287Disposable collection and storage bag for breast milk, any size, any type, each
Questions about A4271
What is HCPCS code A4271?
A4271 is a HCPCS Level II code for integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A4271?
The CMS HCPCS file marks A4271 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is A4271 paid under the physician fee schedule?
A4271 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.