HCPCS Code A4221

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)
Code effective Jan 01, 2017

HCPCS Section
Transportation Services Including Ambulance, Medical & Surgical Supplies

A4221 is a valid 2026 HCPCS code meaning Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) or (Supp non-insulin inf cath/wk) for short. HCPCS A4221 has been effective since 01/01/2017 and applies to Lump sum purchase of DME, prosthetics, orthotics.

HCPCS Code Details - A4221

HCPCS Level II Code
Section A - Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4221
Description

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

Short description:
Supp non-insulin inf cath/wk

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 C - Carrier judgment
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, 1997

See also

  • HCPCS A4220 · Refill kit for implantable infusion pump

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

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

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

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”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.