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2025 HCPCS code A4213

Sterile syringe, 20 cc or greater, each.

Use this code to report the use of a sterile syringe 20 cc or greater. For smaller syringes, use the appropriate HCPCS code.

Medical necessity is established by the clinical need for the administration of medication or solution, or for wound irrigation.

The provider uses a sterile syringe, size 20 cc or greater, for IV or intra-arterial administration of medication, or for wound irrigation. The syringe size depends on the amount of fluid administered or the wound size.

In simple words: This code covers the use of a large, sterile syringe (20 cc or bigger) for giving medications intravenously or into an artery, or for cleaning a wound.

Report the use of a sterile syringe, with a size of 20 cubic centimeters or greater, for administration of medications either by intravenous (IV) or intraarterial route. This code can also be used for wound irrigation or cleansing.

Example 1: A patient receives intravenous antibiotics through a 20 cc sterile syringe., A physician irrigates a large surgical wound using a 30 cc sterile syringe., A patient requires intra-arterial administration of a contrast agent via a 20 cc sterile syringe.

Documentation should include the size of the syringe used, the route of administration (IV or IA), the type of medication or solution administered (if applicable), and the clinical indication for the use of the syringe.

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