HCPCS Level II › A codes A4212 Non coring needle or styletNon-coring needle or stylet with or without catheter
Medicare coverage: Carrier judgment Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 0 units per day (clinical), rationale: CMS Policy Outpatient hospital: max 2 units per day (clinical), rationale: Clinical: Data Medicare pricing for A4212 Physician Fee Schedule (CY 2026, RVU26D) Status P: bundled or excluded, no separate PFS payment.
Payer policies and prior authorization for A4212 Payer coverage policies that name A4212 A4212 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Diabetes Tests, Programs and Supplies (0070) covered if criteria are met Feb 20, 2026 payer document
Medicaid fee-for-service Prior authorization required or conditional in KY, LA, OH, VA.
CO: $3.78 (chp_plus, non-facility), effective Jul 1, 2026 IL: $5.76 (dme), effective Jan 1, 2026 IN: $2.60 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026 KS: $0.84 (default), effective Jan 1, 1993 KY: $9.97 (dme), effective Jan 1, 2026 LA: $5.44 (dme), effective Sep 1, 2012 MA: $0.13 (dme_rates), effective Mar 1, 2026 MD: $0.96 (dme), effective Apr 1, 2026 ND: $0.00 (dme), effective Aug 1, 2026 NE: $10.73 (dme), effective Jul 1, 2026 OH: $3.60 (dme), effective Apr 1, 1997 TX: $20.76 (dmepos_tos_9_e_j_l_and_r, Medical Supplier (Dme), non-facility), effective Apr 1, 2017 VA: $3.93 (dme), effective Dec 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.