Summary & Overview
HCPCS Level II A4215: Sterile Needle, Single Use, Each
HCPCS Level II code A4215 represents a sterile, single-use needle billed per each item. As a common consumable in outpatient and ambulatory care, this supply code underpins routine injections, vaccinations, and minor procedures. Nationally, accurate billing of disposable medical supplies like A4215 affects supply chain reimbursement, inventory accounting, and claim adjudication across large payers.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find benchmarks for claim handling and utilization patterns, common payer coverage considerations, and the clinical contexts where A4215 is typically used. The summary also outlines how A4215 fits into supply billing workflows and points to policy updates and billing guidance that commonly affect HCPCS Level II supply codes.
This publication is intended for revenue cycle managers, ambulatory providers, and compliance staff seeking concise guidance on coding practices, payer expectations, and operational implications for billing sterile needles.
Billing Code Overview
HCPCS Level II code A4215 describes a single sterile needle of any size, billed per each item. This item is a disposable medical supply intended for procedures that require single-use needles.
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Service type: Supply of a sterile needle for injection or puncture procedures
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Typical site of service: Ambulatory clinics, physician offices, hospital outpatient departments, and other outpatient settings where single-use sterile needles are used
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves an adult or pediatric patient requiring a single-use sterile hypodermic needle for medication administration, vaccination, blood draw, or injection of local anesthetic. For example, a patient presents to an outpatient clinic for an influenza vaccination; the nurse selects a size-appropriate sterile needle (A4215 billed per needle) to administer the intramuscular vaccine. Workflow: patient check-in and consent → medication/vaccine preparation → selection of appropriate sterile needle size → standard infection control and hand hygiene → verification of medication and site → administration using single sterile needle → sharps disposal and documentation in the medical record including needle gauge/length, lot number (if applicable), and billing code A4215 per item used. Typical sites of service include outpatient clinics, physician offices, community health centers, urgent care centers, and inpatient bedside administration when single-use needles are required.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Use when no modifier applies to the item billed. |