HCPCS Code A4220

Refill kit for implantable infusion pump
Short DescriptionInfusion pump refill kit
Year2026
Coverage CodeD = Special coverage instructions apply
Action CodeN = No maintenance for this code
Action Effective DateMarch 03, 1998
Code Added DateJanuary 01, 1994
Pricing Indicator57 = Other carrier priced
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics