2025 HCPCS Code A4220

Refill kit for implantable infusion pump

TAGS: refill implantable infusion
Short DescriptionInfusion pump refill kit
Product Note0050
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Code Added Date January 01, 1994
HCPCS Action Effective Date March 03, 1998
HCPCS Pricing Indicator Code 57 - Other carrier priced
HCPCS Type Of Service Code P - Lump sum purchase of DME, prosthetics, orthotics
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number 60-14

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