HCPCS Code A4222: Infusion Supplies for External Drug Infusion Pump

HCPCS Code A4222: Infusion Supplies for External Drug Infusion Pump

HCPCS Code A4222 covers infusion supplies for non-insulin external infusion pumps, billed per cassette or bag, supporting accurate claims and compliance.

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Frequently asked questions

HCPCS code A4222 is for infusion supplies used with an external drug infusion pump, billed per cassette or bag, with drugs listed separately. It includes items like tubing, diluting solutions, and administration supplies necessary for the pump's operation. This code is used for non-insulin external infusion therapies.

An ambulatory infusion pump is a small, portable, battery-powered medical device that delivers fluids or medications to a patient at a programmed rate. It allows patients to remain mobile while receiving continuous or intermittent infusion therapy, typically through a catheter into a vein or under the skin.

Yes, the Medicare program covers HCPCS code A4222 when used with a medically necessary non-insulin external infusion pump. Coverage includes infusion supplies per cassette or bag, such as tubing, diluting solutions, administration supplies, port cap changes, and compounding/preparation charges, provided that medical necessity and documentation requirements are met. The number of cassettes or bags reimbursed depends on the number of doses administered, with limits for intermittent and continuous infusions.

The HCPCS code for a diabetic meter (home blood glucose monitor) is E0607. This code covers the device used for measuring blood glucose levels at home for diabetes management.

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