Summary & Overview
HCPCS Level II A4206: Sterile Syringe with Needle, 1 cc or Less
HCPCS Level II code A4206 represents a sterile syringe with needle, 1 cc or less, each. This code is used for billing single small-capacity syringes intended for medication or vaccine administration. Nationally, such supply codes matter because they underpin routine injectable care across outpatient and home settings and are commonly billed alongside medication administration services.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and common billing modifiers associated with supply billing. The publication outlines benchmarking information and policy-relevant considerations for supply coding and reimbursement practices at a national level.
The report provides practical reference material: a clear description of what A4206 covers, where it is typically used, payer coverage patterns, and operational notes relevant to revenue cycle and clinical staff. Data not available in the input are noted where applicable.
Billing Code Overview
HCPCS Level II code A4206 denotes a sterile syringe with needle, 1 cc or less, each. This supply is typically used to administer medications, vaccines, or injectable therapies in settings where small-volume dosing is required.
Service type: Durable medical/supply item for injectable administration
Typical site of service: Outpatient clinics, physician offices, ambulatory care centers, home health visits, and other outpatient settings where injections are administered
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves an adult or pediatric patient requiring a low-volume intramuscular, subcutaneous, or intradermal injection where a sterile syringe with attached needle of 1 cc (1 mL) capacity or less is used. Examples include administration of vaccines (e.g., influenza, tetanus), insulin or other biologic test doses, allergy testing, local anesthetic infiltration for minor dermatologic procedures, or withdrawal of small volumes of blood for point-of-care testing. The clinical workflow begins with patient identification and consent, verification of medication and dose, hand hygiene and aseptic preparation, selection of an appropriately sized A4206 syringe and needle, administration of the injection using standard technique, disposal of the used syringe/needle in a sharps container, and documentation in the medical record of product used (A4206), lot number if applicable, site of injection, dose, and any patient reactions. Typical sites of service include physician offices, outpatient clinics, urgent care centers, community vaccination clinics, home health visits, and inpatient bedside administration when small-volume syringes are required.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Default — no special circumstance applicable |