HCPCS codes for Medical And Surgical Supplies

A4206

Syringe with needle, sterile, 1 cc or less, each

A4207

Syringe with needle, sterile 2 cc, each

A4208

Syringe with needle, sterile 3 cc, each

A4209

Syringe with needle, sterile 5 cc or greater, each

A4210

Needle-free injection device, each

A4211

Supplies for self-administered injections

A4212

Non-coring needle or stylet with or without catheter

A4213

Syringe, sterile, 20 cc or greater, each

A4215

Needle, sterile, any size, each

A4216

Sterile water, saline and/or dextrose, diluent/flush, 10 ml

A4217

Sterile water/saline, 500 ml

A4218

Sterile saline or water, metered dose dispenser, 10 ml

A4220

Refill kit for implantable infusion pump

A4221

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

A4222

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

A4223

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

A4224

Supplies for maintenance of insulin infusion catheter, per week

A4225

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each

A4226

Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week

A4230

Infusion set for external insulin pump, non needle cannula type

A4231

Infusion set for external insulin pump, needle type

A4232

Syringe with needle for external insulin pump, sterile, 3cc

A4233

Replacement battery, alkaline (other than J cell), for use with medically necessary home blood glucose monitor owned by patient, each

A4234

Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, each

A4235

Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each

A4236

Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each

A4244

Alcohol or peroxide, per pint

A4245

Alcohol wipes, per box

A4246

Betadine or phisohex solution, per pint

A4247

Betadine or iodine swabs/wipes, per box

A4248

Chlorhexidine containing antiseptic, 1 ml

A4250

Urine test or reagent strips or tablets (100 tablets or strips)

A4252

Blood ketone test or reagent strip, each

A4253

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips

A4255

Platforms for home blood glucose monitor, 50 per box

A4256

Normal, low and high calibrator solution/chips

A4257

Replacement lens shield cartridge for use with laser skin piercing device, each

A4258

Spring-powered device for lancet, each

A4259

Lancets, per box of 100

A4261

Cervical cap for contraceptive use

A4262

Temporary, absorbable lacrimal duct implant, each

A4263

Permanent, long term, non-dissolvable lacrimal duct implant, each

A4264

Permanent implantable contraceptive intratubal occlusion device(s) and delivery system

A4265

Paraffin, per pound

A4266

Diaphragm for contraceptive use

A4267

Contraceptive supply, condom, male, each

A4268

Contraceptive supply, condom, female, each

A4269

Contraceptive supply, spermicide (e.g., foam, gel), each

A4270

Disposable endoscope sheath, each

A4280

Adhesive skin support attachment for use with external breast prosthesis, each

A4281

Tubing for breast pump, replacement

A4282

Adapter for breast pump, replacement

A4283

Cap for breast pump bottle, replacement

A4284

Breast shield and splash protector for use with breast pump, replacement

A4285

Polycarbonate bottle for use with breast pump, replacement

A4286

Locking ring for breast pump, replacement

A4290

Sacral nerve stimulation test lead, each