A4930 – Gloves, sterile, per pair
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4930
- Long description
- Gloves, sterile, per pair
- Short description
- Sterile, gloves per pair
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
DSpecial coverage instructions apply- BETOS category
P9BDialysis services (Non-Medicare fee schedule)- Added
- January 1, 2003
- Last change
- January 1, 2015 – No change
Frequently asked questions
What is HCPCS code A4930?
A4930 is a HCPCS Level II code for gloves, sterile, per pair.
Does Medicare cover A4930?
The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
- A4870 – Plumbing and/or electrical work for home hemodialysis equipment
- A4890 – Contracts, repair and maintenance, for hemodialysis equipment
- A4911 – Drain bag/bottle, for dialysis, each
- A4913 – Miscellaneous dialysis supplies, not otherwise specified
- A4918 – Venous pressure clamp, for hemodialysis, each
- A4927 – Gloves, non-sterile, per 100
- A4928 – Surgical mask, per 20
- A4929 – Tourniquet for dialysis, each
- A4931 – Oral thermometer, reusable, any type, each
- A4932 – Rectal thermometer, reusable, any type, each
- A5051 – Ostomy pouch, closed; with barrier attached (1 piece), each
- A5052 – Ostomy pouch, closed; without barrier attached (1 piece), each
- A5053 – Ostomy pouch, closed; for use on faceplate, each
- A5054 – Ostomy pouch, closed; for use on barrier with flange (2 piece), each
- A5055 – Stoma cap
- A5056 – Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.