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2025 HCPCS code A4210

Needle-free injection device, each.

Refer to HCPCS coding guidelines for proper application of this code.

Modifiers may apply depending on the circumstances of service.Consult the CMS National Correct Coding Initiative (NCCI) edits for potential modifier requirements.

Medical necessity for A4210 is established when the use of a needleless injection device is deemed appropriate for the specific patient and medication. This may be due to patient factors (e.g., needle phobia, bleeding disorders) or medication characteristics (e.g., instability at room temperature).

The clinical responsibility lies with the provider administering the medication using the needleless injection device. This includes selecting the appropriate medication, determining the correct dosage, ensuring proper device operation, and monitoring the patient for any adverse reactions.

IMPORTANT For conventional syringes and needles, use codes A4206 (1cc or less), A4207 (2cc), or A4208 (3cc), depending on syringe size.

In simple words: This code is for a special device that gives medicine through the skin without using a needle. It uses air, springs, or gas to push the medicine into the skin.

HCPCS code A4210 represents a single-use needleless injection device that administers medication or solution through the skin without a needle.The device may operate using various mechanisms such as compressed air, metal springs, or carbon dioxide, delivering a fine stream of medication at high speed and pressure for cutaneous diffusion.This code is for the device itself, not the administered medication.

Example 1: A patient requires a subcutaneous injection of a medication, and a needleless injection device is used to administer the dose. The physician is responsible for selecting the appropriate medication, dosage, and technique and ensuring the patient's safety., A nurse administers a vaccination using a needleless injection device in a mass immunization clinic. Proper technique and infection control measures are essential. , In a home healthcare setting, a nurse uses a needleless injection device to administer insulin to a patient with diabetes. The nurse is responsible for ensuring the accurate dosage, proper technique, and patient education.

Documentation should include the type of medication administered, dosage, route of administration (needleless injection), date and time of administration, and any patient reactions or complications. The specific device used should also be documented.

** This code is specific to the device.The medication administered is separately coded.

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