HCPCS Range Injection and Infusion Supplies

• 1 Syringe with needle, sterile, 1 cc or less, each ( A4206 )

• 2 Syringe with needle, sterile 2 cc, each ( A4207 )

• 3 Syringe with needle, sterile 3 cc, each ( A4208 )

• 4 Syringe with needle, sterile 5 cc or greater, each ( A4209 )

• 5 Needle-free injection device, each ( A4210 )

• 6 Supplies for self-administered injections ( A4211 )

• 7 Non-coring needle or stylet with or without catheter ( A4212 )

• 8 Syringe, sterile, 20 cc or greater, each ( A4213 )

• 9 Needle, sterile, any size, each ( A4215 )

• 10 Sterile water, saline and/or dextrose, diluent/flush, 10 ml ( A4216 )

• 11 Sterile water/saline, 500 ml ( A4217 )

• 12 Sterile saline or water, metered dose dispenser, 10 ml ( A4218 )

• 13 Refill kit for implantable infusion pump ( A4220 )

• 14 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) ( A4221 )

• 15 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) ( A4222 )

• 16 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) ( A4223 )

• 17 Infusion set for external insulin pump, non needle cannula type ( A4230 )

• 18 Infusion set for external insulin pump, needle type ( A4231 )

• 19 Syringe with needle for external insulin pump, sterile, 3 cc ( A4232 )

• 20 Supplies for maintenance of insulin infusion catheter, per week ( A4224 )

• 21 Supplies for external insulin infusion pump, syringe type cartridge, sterile, each ( A4225 )

• 22 Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week ( A4226 )