HCPCS Code Details - A4226

HCPCS Level II Code
Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4226
Description

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

Short description:
Weekly supply maint cgs pump

HCPCS Modifier1
HCPCS Pricing indicator 99 - Value not established
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code Z2 - Undefined codes
HCPCS Action code A - Add procedure or modifier code
Type of service 9 - Other medical items or services
Effective date Effective Jan 01, 2020
Date added Added Jan 01, 2020
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 A4225 · Supplies for external insulin infusion pump, syringe type cartridge, sterile, each

  • HCPCS A4221 · Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)

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

  • HCPCS A4230 · Infusion set for external insulin pump, non needle cannula type


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”