HCPCS Code Details - A4221

HCPCS Level II Code
Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4221

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 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 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
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 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”