How To Use HCPCS Code A4208

HCPCS code A4208 describes a syringe with a needle that is sterile and has a capacity of 3 cc. This code is used to identify and bill for the specific medical supply of a 3 cc sterile syringe with a needle. In this article, we will explore the details of HCPCS code A4208, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS A4208?

HCPCS code A4208 is used to identify a specific medical supply, which is a sterile syringe with a needle that has a capacity of 3 cc. This code is used to accurately document and bill for the provision of this particular syringe and needle combination. It is important to use the correct HCPCS code to ensure accurate reimbursement and proper documentation of the medical supply provided.

2. Official Description

The official description of HCPCS code A4208 is “Syringe with needle, sterile 3 cc, each.” This description clearly indicates that this code represents a sterile syringe with a needle that has a capacity of 3 cc. The short description of this code is “3 cc sterile syringe&needle.”

3. Procedure

1. Ensure that the syringe and needle are sterile and in proper condition.
2. Verify that the syringe has a capacity of 3 cc.
3. Attach the needle securely to the syringe.
4. Prepare the syringe and needle for use according to standard medical practices.
5. Administer the medication or perform the necessary procedure using the syringe and needle.
6. Dispose of the used syringe and needle in a proper sharps container.

4. When to use HCPCS code A4208

HCPCS code A4208 should be used when documenting and billing for the provision of a 3 cc sterile syringe with a needle. This code is applicable in various medical settings where such syringes and needles are used, including hospitals, clinics, and other healthcare facilities. It is important to use this code when the specific medical supply described by A4208 is provided to ensure accurate reimbursement and proper documentation.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A4208, healthcare providers need to ensure that the following documentation requirements are met:

• Clearly indicate the use of a 3 cc sterile syringe with a needle in the medical record.
• Include the date and time of the procedure or administration where the syringe and needle were used.
• Provide a detailed description of the medical supply provided, including the brand, model, and any additional specifications if necessary.
• Include any relevant supporting documentation, such as a prescription or order for the syringe and needle.

6. Historical Information and Code Maintenance

HCPCS code A4208 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has been in use since then and has not undergone any significant changes or updates. The code has a pricing indicator code of 00, which indicates that the service is not separately priced by Part B. It also has a multiple pricing indicator code of 9, which means that the value for pricing is not established. The action code for A4208 is N, indicating that there is no maintenance for this code.

7. Medicare and Insurance Coverage

HCPCS code A4208 may be covered by Medicare and other insurance providers. However, the pricing for this code is not separately established by Part B. The service or supply represented by A4208 may be bundled or not covered by certain insurance plans. It is important to check with the specific insurance provider for coverage and reimbursement details.

8. Examples

Here are five examples of when HCPCS code A4208 should be billed:

1. A patient receives an injection of medication using a 3 cc sterile syringe with a needle.
2. A healthcare provider performs a blood draw using a 3 cc sterile syringe with a needle.
3. A nurse administers a vaccine using a 3 cc sterile syringe with a needle.
4. A physician performs a local anesthesia injection using a 3 cc sterile syringe with a needle.
5. A healthcare professional performs a subcutaneous injection using a 3 cc sterile syringe with a needle.