A-code: Supplies, radiopharmaceuticals, transport & miscellaneous Supplies, radiopharmaceuticals, transport & miscellaneous
870 codes
Billing context
A-codes cover ambulance services, medical and surgical supplies, administrative and miscellaneous items. A9500–A9999 include diagnostic and therapeutic radiopharmaceuticals and contrast agents. Payment depends on the specific code, benefit category, and setting.
| Code | Long descriptor | Payment limit (Q4 2026) | Added | Status |
|---|---|---|---|---|
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | — | Jan 1, 2004 | Active |
| A4217 | Sterile water/saline, 500 ml | — | Jan 1, 2004 | Active |
| A4218 | Sterile saline or water, metered dose dispenser, 10 ml | — | Jan 1, 2006 | Active |
| A4220 | Refill kit for implantable infusion pump | — | Jan 1, 1994 | Active |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | — | Jan 1, 1997 | Active |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | — | Jan 1, 1997 | Active |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | — | Jan 1, 2005 | Active |
| A4224 | Supplies for maintenance of insulin infusion catheter, per week | — | Jan 1, 2017 | Active |
| A4225 | Supplies for external insulin infusion pump, syringe type cartridge, sterile, each | — | Jan 1, 2017 | Active |
| A4226 | Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per week | — | Jan 1, 2020 | Active |
| A4228 | Supplies for maintenance of non-insulin, device-drug combination infusion catheter, per week | — | Oct 1, 2026 | Active |
| A4230 | Infusion set for external insulin pump, non needle cannula type | — | Jan 1, 1996 | Active |
| A4231 | Infusion set for external insulin pump, needle type | — | Jan 1, 1996 | Active |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | — | Jan 1, 1996 | Active |
| A4233 | Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each | — | Jan 1, 2006 | Active |
| A4234 | Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each | — | Jan 1, 2006 | Active |
| A4235 | Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each | — | Jan 1, 2006 | Active |
| A4236 | Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each | — | Jan 1, 2006 | Active |
| A4238 | Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | — | Apr 1, 2022 | Active |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | — | Jan 1, 2023 | Active |
| A4244 | Alcohol or peroxide, per pint | — | Jan 1, 1985 | Active |
| A4245 | Alcohol wipes, per box | — | Jan 1, 1985 | Active |
| A4246 | Betadine or phisohex solution, per pint | — | Jan 1, 1985 | Active |
| A4247 | Betadine or iodine swabs/wipes, per box | — | Jan 1, 1985 | Active |
| A4248 | Chlorhexidine containing antiseptic, 1 ml | — | Jan 1, 2004 | Active |
| A4250 | Urine test or reagent strips or tablets (100 tablets or strips) | — | Jan 1, 1990 | Active |
| A4252 | Blood ketone test or reagent strip, each | — | Jan 1, 2008 | Active |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | — | Jan 1, 1986 | Active |
| A4255 | Platforms for home blood glucose monitor, 50 per box | — | Jan 1, 1997 | Active |
| A4256 | Normal, low and high calibrator solution / chips | — | Jan 1, 1985 | Active |
| A4257 | Replacement lens shield cartridge for use with laser skin piercing device, each | — | Jan 1, 2002 | Active |
| A4258 | Spring-powered device for lancet, each | — | Jan 1, 1996 | Active |
| A4259 | Lancets, per box of 100 | — | Jan 1, 1985 | Active |
| A4261 | Cervical cap for contraceptive use | — | Jan 1, 1999 | Active |
| A4262 | Temporary, absorbable lacrimal duct implant, each | — | Jan 1, 1994 | Active |
| A4263 | Permanent, long term, non-dissolvable lacrimal duct implant, each | — | Jan 1, 1994 | Active |
| A4264 | Permanent implantable contraceptive intratubal occlusion device(s) and delivery system | — | Jan 1, 2010 | Active |
| A4265 | Paraffin, per pound | — | Jan 1, 1986 | Active |
| A4266 | Diaphragm for contraceptive use | — | Jan 1, 2003 | Active |
| A4267 | Contraceptive supply, condom, male, each | — | Jan 1, 2003 | Active |
| A4268 | Contraceptive supply, condom, female, each | — | Jan 1, 2003 | Active |
| A4269 | Contraceptive supply, spermicide (e.g., foam, gel), each | — | Jan 1, 2003 | Active |
| A4270 | Disposable endoscope sheath, each | — | Jan 1, 1994 | Active |
| A4271 | Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests | — | Apr 1, 2024 | Active |
| A4280 | Adhesive skin support attachment for use with external breast prosthesis, each | — | Jan 1, 2000 | Active |
| A4281 | Tubing for breast pump, replacement | — | Jan 1, 2003 | Active |
| A4282 | Adapter for breast pump, replacement | — | Jan 1, 2003 | Active |
| A4283 | Cap for breast pump bottle, replacement | — | Jan 1, 2003 | Active |
| A4284 | Breast shield and splash protector for use with breast pump, replacement | — | Jan 1, 2003 | Active |
| A4285 | Polycarbonate bottle for use with breast pump, replacement | — | Jan 1, 2003 | Active |
| A4286 | Locking ring for breast pump, replacement | — | Jan 1, 2003 | Active |
| A4287 | Disposable collection and storage bag for breast milk, any size, any type, each | — | Jan 1, 2024 | Active |
| A4288 | Valve for breast pump, replacement | — | Oct 1, 2025 | Active |
| A4290 | Sacral nerve stimulation test lead, each | — | Jan 1, 2001 | Active |
| A4295 | Intermittent urinary catheter; straight tip, hydrophilic coating, each | — | Jan 1, 2026 | Active |
| A4296 | Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each | — | Jan 1, 2026 | Active |
| A4297 | Intermittent urinary catheter; hydrophilic coating, with insertion supplies | — | Jan 1, 2026 | Active |
| A4300 | Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access | — | Jan 1, 1986 | Active |
| A4301 | Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.) | — | Jan 1, 1996 | Active |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | — | Jan 1, 1993 | Active |
| A4306 | Disposable drug delivery system, flow rate of less than 50 ml per hour | — | Jan 1, 1993 | Active |
| A4310 | Insertion tray without drainage bag and without catheter (accessories only) | — | Jan 1, 1990 | Active |
| A4311 | Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | — | Jan 1, 1990 | Active |
| A4312 | Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone | — | Jan 1, 1990 | Active |
| A4313 | Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation | — | Jan 1, 1990 | Active |
| A4314 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | — | Jan 1, 1990 | Active |
| A4315 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone | — | Jan 1, 1990 | Active |
| A4316 | Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation | — | Jan 1, 1990 | Active |
| A4318 | Female external urinary collection cup, with or without ring attachment, per day | — | Apr 1, 2026 | Active |
| A4320 | Irrigation tray with bulb or piston syringe, any purpose | — | Jan 1, 1990 | Active |
| A4321 | Therapeutic agent for urinary catheter irrigation | — | Jan 1, 1997 | Active |
| A4322 | Irrigation syringe, bulb or piston, each | — | Jan 1, 1990 | Active |
| A4326 | Male external catheter with integral collection chamber, any type, each | — | Jan 1, 1990 | Active |
| A4327 | Female external urinary collection device; meatal cup, each | — | Jan 1, 1990 | Active |
| A4328 | Female external urinary collection device; pouch, each | — | Jan 1, 1990 | Active |
| A4330 | Perianal fecal collection pouch with adhesive, each | — | Jan 1, 1990 | Active |
| A4331 | Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each | — | Jan 1, 2001 | Active |
| A4332 | Lubricant, individual sterile packet, each | — | Jan 1, 2001 | Active |
| A4333 | Urinary catheter anchoring device, adhesive skin attachment, each | — | Jan 1, 2001 | Active |
| A4334 | Urinary catheter anchoring device, leg strap, each | — | Jan 1, 2001 | Active |
| A4335 | Incontinence supply; miscellaneousNOC / NOS | — | Jan 1, 1990 | Active |
| A4336 | Incontinence supply, urethral insert, any type, each | — | Jan 1, 2010 | Active |
| A4337 | Incontinence supply, rectal insert, any type, each | — | Jan 1, 2016 | Active |
| A4338 | Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | — | Jan 1, 1990 | Active |
| A4340 | Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each | — | Jan 1, 1990 | Active |
| A4341 | Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each | — | Apr 1, 2023 | Active |
| A4342 | Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each | — | Apr 1, 2023 | Active |
| A4344 | Indwelling catheter, foley type, two-way, all silicone or polyurethane, each | — | Jan 1, 1983 | Active |
| A4346 | Indwelling catheter; foley type, three way for continuous irrigation, each | — | Jan 1, 1983 | Active |
| A4349 | Male external catheter, with or without adhesive, disposable, each | — | Jan 1, 2005 | Active |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | — | Jan 1, 1990 | Active |
| A4352 | Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each | — | Jan 1, 1990 | Active |
| A4353 | Intermittent urinary catheter, with insertion supplies | — | Jan 1, 1997 | Active |
| A4354 | Insertion tray with drainage bag but without catheter | — | Jan 1, 1986 | Active |
| A4355 | Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each | — | Jan 1, 1984 | Active |
| A4356 | External urethral clamp or compression device (not to be used for catheter clamp), each | — | Jan 1, 1985 | Active |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | — | Jan 1, 1985 | Active |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | — | Jan 1, 1985 | Active |
| A4360 | Disposable external urethral clamp or compression device, with pad and/or pouch, each | — | Jan 1, 2010 | Active |
| A4361 | Ostomy faceplate, each | — | Jan 1, 1985 | Active |