HCPCS Code Details - A4225

HCPCS Level II Code
Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4225
Description

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

Short description:
Sup/ext insulin inf pump syr

HCPCS Modifier1
HCPCS Pricing indicator 34 - DME supplies (price subject to floors and ceilings)
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code D - Special coverage instructions apply
BETOS2 code D1E - Other DME
HCPCS Action code N - No maintenance for this code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 2017
Date added Added Jan 01, 2017
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS A4224 · Supplies for maintenance of insulin infusion catheter, per week

  • HCPCS K0552 · Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each

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


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”