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July 2013

Be aware of quantity limits for diabetic supplies

Blue Cross Blue Shield of Michigan has classified procedure codes A4230, A4231 and A4232 as diabetic supply procedure codes. These procedures can be performed every 90 days. However, there is a yearly quantity limit for all members, with the exception of MESSA and FEP members.

See the following chart to determine the quantity maximum per year.

Procedure codes

Quantity

A4230

Maximum of 300 per year

A4231

Maximum of 300 per year

A4232

Maximum of 720 per year

As always, be sure to check group-specific benefits and quantity maximums.

Please note: Diabetic supplies for FEP members are handled by Caremark.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
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