FOXBORO Foxboro FCP270 P0917YZ field control processor

FOXBORO Foxboro FCP270 P0917YZ field control processor

Technical data of product parameters

Medtronic, Inc., a manufacturer of adjunctive CGM sensors and transmitters that work in FCP270 P0917YZ
conjunction with Medtronic brand insulin infusion pumps that also function as an adjunctive
CGM receiver believes HCPCS codes A9276, A9277, and A9278 should be made valid for
Medicare so that payers secondary to Medicare that use these codes can receive Medicare
denied claims for these codes for secondary payer purposes. Other commenters also
recommended that the conversion of existing K codes K0553 and K0554 to permanent A and
E codes, respectively, should be delayed until January 1, 2023, to allow time for the updating
of billing software and instructions. Finally, the manufacturer pointed out that payment for FCP270 P0917YZ
the blood glucose monitor (BGM) function of accurate glucose monitoring has been backed
out of both the preliminary fee schedule amounts for the adjunctive CGM receiver (HCPCS
code E2102) and the preliminary fee schedule amounts for the monthly supplies for the
adjunctive CGM receiver (HCPCS code A4238). Medtronic, Inc., recommended that the
error be addressed by not backing out the payment for the BGM function from the payment
for the adjunctive CGM receiver code E2102.
In response to the public comment regarding codes A9276, A9277, and A9278, these codes
were used previously for claims for adjunctive CGMs and related supplies that were not FCP270 P0917YZ
classified as DME. Now that both non-adjunctive and adjunctive CGMs are classified as
DME, the only items that might be billed under these codes for the purpose of receiving
Medicare denial notices would be sensors (A9276) and transmitters (A9277) used with items
that are not classified as DME such as a smartphone used as a CGM receiver (A9278). We
therefore agree with the public comment to make codes A9276, A9277, and A9278 valid for
Medicare for billing non-DME CGM items for the purpose of receiving Medicare denials.
Effective January 1, 2023, the descriptors for codes A9276, A9277, and A9278 will be
revised to read as follow

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