HCPCS 2018

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
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, 3 cc
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
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