A4614 — Peak expiratory flow rate meter, hand held
A4614 is a HCPCS Level II code for peak expiratory flow rate meter, hand held. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of A4614 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 1 unit MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
- DME supplier
- 1 unit MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for A4614
- Long descriptor
- Peak expiratory flow rate meter, hand held
- Short descriptor
- Hand-held pefr meter
- Added
- January 1, 1999
- BETOS
- Z2
- Pricing indicator
- 46 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Carrier priced — not otherwise classified, individual determination, carrier discretion, or gap-filled amounts.
Codes adjacent to A4614
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A4614 is not quite right, the correct code is very often within a few positions of it.
- A4602Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each
- A4604Tubing with integrated heating element for use with positive airway pressure device
- A4605Tracheal suction catheter, closed system, each
- A4606Oxygen probe for use with oximeter device, replacement
- A4608Transtracheal oxygen catheter, each
- A4611Battery, heavy duty; replacement for patient owned ventilator
- A4612Battery cables; replacement for patient-owned ventilator
- A4613Battery charger; replacement for patient-owned ventilator
- A4615Cannula, nasal
- A4616Tubing (oxygen), per foot
- A4617Mouth piece
- A4618Breathing circuits
- A4619Face tent
- A4620Variable concentration mask
- A4623Tracheostomy, inner cannula
- A4624Tracheal suction catheter, any type other than closed system, each
Questions about A4614
What is HCPCS code A4614?
A4614 is a HCPCS Level II code for peak expiratory flow rate meter, hand held. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A4614?
The CMS HCPCS file marks A4614 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is A4614 paid under the physician fee schedule?
A4614 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.