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A4259 — Lancets, per box of 100

HCPCS Level II A-code · short descriptor: “Lancets per box”

Code system
HCPCS Level II
Family
A — Medical & surgical supplies, ambulance
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
Supplies
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

A4259 Medicare fee schedule (April 2026)

Base (no modifier) Supplies

Medicare allowable: $1.42 in all listed states.

StateNon-ruralRural
AK$1.42—
AL$1.42—
AR$1.42—
AZ$1.42—
CA$1.42—
CO$1.42—
CT$1.42—
DC$1.42—
DE$1.42—
FL$1.42—
GA$1.42—
HI$1.42—
IA$1.42—
ID$1.42—
IL$1.42—
IN$1.42—
KS$1.42—
KY$1.42—
LA$1.42—
MA$1.42—
MD$1.42—
ME$1.42—
MI$1.42—
MN$1.42—
MO$1.42—
MS$1.42—
MT$1.42—
NC$1.42—
ND$1.42—
NE$1.42—
NH$1.42—
NJ$1.42—
NM$1.42—
NV$1.42—
NY$1.42—
OH$1.42—
OK$1.42—
OR$1.42—
PA$1.42—
PR$1.42—
RI$1.42—
SC$1.42—
SD$1.42—
TN$1.42—
TX$1.42—
UT$1.42—
VA$1.42—
VI$1.42—
VT$1.42—
WA$1.42—
WI$1.42—
WV$1.42—
WY$1.42—
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

CO-50 medical necessity

Related A-codes

A4206A4207A4208A4209A4210A4211A4212A4213A4215A4216A4217A4218

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