A4225 HCPCS Level II code: Supplies for external insulin infusion pump, syringe type cartridge, sterile, each
A4225 is the HCPCS code for “Supplies for external insulin infusion pump, syringe type cartridge, sterile, each” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4225Supplies for external insulin infusion pump, syringe type cartridge, sterile, each
Short description: Sup/ext insulin inf pump syr
HCPCS · United States
Medicare details
The indicators CMS publishes with A4225 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- DMEPOS fee schedule – DME supplies (price subject to floors and ceilings)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Other DME
- Added
- Jan 1, 2017
Where A4225 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4225Supplies for external insulin infusion pump, syringe type cartridge, sterile, each
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code A4225 mean?
A4225 is the HCPCS code for “Supplies for external insulin infusion pump, syringe type cartridge, sterile, each” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4225?
CMS lists A4225’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – DME supplies (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside A4225
All A codesA4218Sterile saline or water, metered dose dispenser, 10 mlA4220Refill kit for implantable infusion pumpA4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)A4223Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)A4224Supplies for maintenance of insulin infusion catheter, per weekA4226Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing, per weekA4228Supplies for maintenance of non-insulin, device-drug combination infusion catheter, per weekA4230Infusion set for external insulin pump, non needle cannula typeA4231Infusion set for external insulin pump, needle typeA4232Syringe with needle for external insulin pump, sterile, 3 ccA4233Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each