HCPCS code A4220 — Infusion pump refill kit. Status: Active. Effective Mar 3, 1998. Source: CMS HCPCS Level II.

A4220

Active

Infusion pump refill kit

Refill kit for implantable infusion pump

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Mar 3, 1998
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A4220 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 1
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits