A4218 Sterile saline or water, metered dose dispenser, 10 ml billable
A4220 Refill kit for implantable infusion pump billable
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) billable
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) billable
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) billable
A4224 Supplies for maintenance of insulin infusion catheter, per week billable
A4225 Supplies for external insulin infusion pump, syringe type cartridge, sterile, each billable
A4226 Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week billable
A4230 Infusion set for external insulin pump, non needle cannula type billable
A4231 Infusion set for external insulin pump, needle type billable
A4232 Syringe with needle for external insulin pump, sterile, 3 cc billable
A4233 Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each billable
A4234 Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each billable
A4235 Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each billable
A4236 Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each billable
A4238 Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service billable
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service billable