Summary & Overview
HCPCS Level II A4259: Lancets, per box of 100
HCPCS Level II code A4259 identifies boxes of 100 single-use lancets used for capillary blood sampling, a common medical supply in diabetes self-monitoring and point-of-care testing. Nationally, standardized supply codes such as A4259 matter because they enable consistent reporting, inventory management, and payer coverage decisions for widely used disposable items.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code's clinical context and service settings, along with national benchmarking points where available. The publication highlights typical sites of service, the role of A4259 in outpatient and home-based glucose monitoring workflows, and common billing considerations related to packaging and supply reporting.
This summary equips billing managers, clinical supply planners, and compliance officers with a clear understanding of what A4259 represents, which payers commonly engage with this line item, and which operational and billing topics to review when managing lancet supplies.
Billing Code Overview
HCPCS Level II code A4259 describes lancets, per box of 100. This supply-level code is used to report bulk packaging of single-use lancets commonly used for capillary blood sampling in glucose monitoring and point-of-care testing.
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Service type: Medical supply
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Typical site of service: Durable medical equipment and supply distribution, outpatient clinics, home use by patients
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves a person with diabetes who performs routine self-monitoring of blood glucose (SMBG) at home and requires disposable lancets supplied in bulk. A clinician in a primary care or endocrinology clinic orders a box of 100 lancets (A4259) for a patient initiating or continuing SMBG therapy. The clinical workflow: a clinician documents the diagnosis (for example, diabetes mellitus), assesses the need for SMBG supplies, writes an order for lancets, and the medical supply department dispenses A4259 either via retail pick-up or mailed durable medical equipment/supply service. Training on proper use, single-use safety, and sharps disposal is provided during the visit. Typical sites of service include outpatient clinic, home (for use by the patient), and durable medical equipment supplier locations.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Use when no special circumstances apply to the supply billing. |
11 | Office |