A4220 Refill kit for implantable infusion pump

Billable / valid for submission HCPCS Release 2026Q3

Short description: Infusion pump refill kit

Version history

Release	Valid from	Valid to	Description	Billable
2026Q3	2026-07-01	current	Refill kit for implantable infusion pump	yes

A4206 Syringe with needle, sterile, 1 cc or less, each
A4207 Syringe with needle, sterile 2 cc, each
A4208 Syringe with needle, sterile 3 cc, each
A4209 Syringe with needle, sterile 5 cc or greater, each
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
A4230 Infusion set for external insulin pump, non needle cannula type
A4231 Infusion set for external insulin pump, needle type