No. For therapeutic (non-adjunctive) CGMs, Medicare requires billing with E2103 (receiver) and A4239 (supply allowance). Use of A9278 will result in denial.
HCPCS Code A9278: Receiver; External, for Use DME Interstitial Continuous Glucose Monitoring System
Learn how to bill HCPCS A9278 for CGM receivers. Read documentation, billing, and alternative coding guidance here.
Use Code
Frequently asked questions
No. Adjunctive CGM systems must be billed using E2102 and A4238. A9278 is not permitted when billing for adjunctive (non-therapeutic) CGMs.
Possibly in non-Medicare or specific Medicaid/commercial programs that recognize non-DME CGM systems not captured by E2102/E2103 codes—but this is rare. Always verify payer-specific coverage policies before billing A9278.
EHR and practice management software
Get started for free
*No credit card required
Free
$0/usd
Unlimited clients
Telehealth
1GB of storage
Client portal text
Automated billing and online payments