A9270 - Non-covered item or service

Healthcare Common Procedure Coding System

Last updated: 10/30/2025

What is a HCPCS Code?

HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical procedures, supplies, and services for billing purposes. These codes help standardize how healthcare services are reported and billed across different providers and insurance companies.

Detailed Description

This code indicates that a particular medical item or service is not covered by your insurance plan or Medicare/Medicaid. When this code appears on your medical bill or claim, it means the insurance company has determined that the specific treatment, procedure, equipment, or service does not qualify for coverage under your current benefits. You may be responsible for paying the full cost of this item or service out-of-pocket.

Additional Information

This is an administrative code used for billing purposes to indicate non-coverage. The actual cost will depend on the specific item or service that was deemed non-covered. Patients should contact their insurance provider to understand why coverage was denied and explore potential appeal options if appropriate.

Category

Administrative/Billing

Medical Specialty

All specialties

Expected Costs

Your actual cost will depend on your insurance coverage, provider location, and specific circumstances.

Why Understanding This Code Matters

On Your Medical Bill

This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.

For Your Health

Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.

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