Table of content for "Infusion supplies with pump" (HCPCS A4222)
General information on the “A4222” code
HCPCS Code: A4222
Long Description: Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)
Short Description: Infusion supplies with pump
Original information is taken from A4222 page
Pricing indicators
Pricing Indicator Code 1: 34 – DME supplies (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1E – Other DME
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19970101
Code Effective Date: 20050101
Action Code: N – No maintenance for this code