A4220 – Refill kit for implantable infusion pump

Long description

Refill kit for implantable infusion pump

Short description

Infusion pump refill kit

Pricing indicator

57 Other carrier priced

Medicare coverage

D Special coverage instructions apply

BETOS category

D1A Medical/surgical supplies

Added

January 1, 1994

Last change

March 3, 1998 – No change

Nearby A codes

• 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
• 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
• A4226 – Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week
• A4228 – Supplies for maintenance of non-insulin, device-drug combination infusion catheter, per week
• A4230 – Infusion set for external insulin pump, non needle cannula type