Summary & Overview
HCPCS Level II A4930: Sterile Gloves, Per Pair
HCPCS Level II code A4930 denotes sterile gloves billed per pair, a frequently used supply code in procedural and sterile clinical settings. Nationally, this code is relevant for facilities and providers that perform wound care, minor procedures, or any intervention requiring sterile technique. Proper coding of disposable sterile supplies affects claim adjudication, inventory tracking, and cost reporting across outpatient and ambulatory care settings.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of how A4930 is used in clinical workflows, typical sites of service, and the implications for billing and supply management. The publication summarizes common payer coverage patterns and benchmarking context where available, outlines clinical scenarios that commonly require sterile gloves, and notes gaps where specific payer policy details or taxonomy mappings are not included.
This resource is intended for billing managers, practice administrators, and policy analysts seeking a national-level briefing on the clinical meaning, billing context, and administrative considerations for HCPCS Level II code A4930.
Billing Code Overview
HCPCS Level II code A4930 describes sterile gloves sold per pair. The code covers sterile gloves intended for clinical use where sterility is required to reduce infection risk.
Service type: Disposable sterile supply for clinical procedures
Typical site of service: Outpatient clinics, surgical centers, emergency departments, and other procedural settings where sterile technique is required
Clinical & Coding Specifications
Clinical Context
A patient arrives for a minor sterile procedure in an outpatient clinic or ambulatory surgical center where the clinician will don sterile gloves to maintain an aseptic field. Typical patients include those undergoing wound debridement, incision and drainage of an abscess, minor skin lesion excision, central line dressing change under sterile technique, or bedside procedures such as joint aspiration performed in a procedural room.
The clinical workflow: the patient is triaged and the indication for a sterile procedure is confirmed. The procedural area is prepared with antiseptic skin prep and sterile drapes. The clinician opens a sterile package and uses a pair of A4930 sterile gloves during the procedure. After completing the procedure, the clinician discards the gloves as regulated medical waste and documents glove usage in the procedure note, including glove size and that sterile technique was maintained. Billing staff link the supply item A4930 to the encounter when supplies are reported separately from the procedure or when facility supply tracking requires HCPCS supply-level reporting.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Use when no other modifier applies and services are unmodified |