A4657 HCPCS Level II code: Syringe, with or without needle, each
A4657 is the HCPCS code for “Syringe, with or without needle, each” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4657Syringe, with or without needle, each
Short description: Syringe w/wo needle
HCPCS · United States
Notes for A4657
As CMS prints them, with any note A4657 takes from the headings above it.
Note
- CMS processing note 0017: SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.
Medicare details
The indicators CMS publishes with A4657 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- ESRD supplies
- BETOS category
- Dialysis services (Non-Medicare fee schedule)
- Added
- Jan 1, 2002
Where A4657 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4657Syringe, with or without needle, 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 A4657 mean?
A4657 is the HCPCS code for “Syringe, with or without needle, each” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4657?
CMS lists A4657’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. 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 A4657
All A codesA4648Tissue marker, implantable, any type, eachA4649Surgical supply; miscellaneousA4650Implantable radiation dosimeter, eachA4651Calibrated microcapillary tube, eachA4652Microcapillary tube sealantA4653Peritoneal dialysis catheter anchoring device, belt, eachA4660Sphygmomanometer/blood pressure apparatus with cuff and stethoscopeA4663Blood pressure cuff onlyA4670Automatic blood pressure monitorA4671Disposable cycler set used with cycler dialysis machine, eachA4672Drainage extension line, sterile, for dialysis, eachA4673Extension line with easy lock connectors, used with dialysis