Summary & Overview
HCPCS Level II A4213: Sterile Syringe, 20 cc or Greater
HCPCS Level II code A4213 denotes a sterile syringe with a capacity of 20 cc or greater, billed per unit. This supply-level code matters nationally because large-volume syringes are commonly used across inpatient, outpatient, and home health settings for medication administration, irrigation, and specimen handling. Accurate coding of A4213 affects supply cost reporting, bundled payments, and claims adjudication for device-dependent procedures. Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will find a concise explanation of the clinical context and typical sites of service for A4213, an overview of common billing practice considerations, and what is typically reported to major commercial payers and Medicare. The publication covers benchmark elements such as standard billing descriptors, common modifiers observed on claims (list provided separately), and payer-specific claims handling notes where available. Policy or coverage updates related to supply coding and device reporting that influence reimbursement and claims processing are summarized. Where specific data fields were not provided in the source input, the report notes "Data not available in the input."
Billing Code Overview
HCPCS Level II code A4213 represents a sterile syringe with a capacity of 20 cc or greater, billed per each unit. The service type is supply/medical device used for administration or collection of fluids or medications. The typical site of service is outpatient clinic, inpatient facility, home health, or other ambulatory settings where large-volume syringes are required for clinical procedures or medication administration.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult receiving outpatient parenteral therapy for dehydration or medication administration in a clinic, infusion center, emergency department, or inpatient ward. A clinician or licensed nurse selects a single-use, sterile syringe A4213 (20 cc or greater) to draw and administer intravenous fluids, dilute or measure medications, withdraw blood for point-of-care testing, or flush central or peripheral intravenous lines. The clinical workflow includes verification of the medication order and patient identity, aseptic preparation of the syringe and medication, drawing the prescribed volume into the A4213 syringe, labeling if required, and administering the dose under standard infection-control procedures. Documentation includes the syringe size (20 cc or greater), lot number if required by facility policy, medication name and dose, route, time, and the performing clinician or nurse. Typical sites of service are outpatient infusion centers, hospital inpatient units, emergency departments, ambulatory clinics, and skilled nursing facilities.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | General use when no modifier applies |