A4258 HCPCS Level II Code: Spring-powered device for lancet, each
HCPCS Level II code, maintained by CMS. Not a CPT code: CPT (HCPCS Level I) is a separate AMA code set that MedCoder does not publish. About HCPCS Level II
Compare with another codeCheck this code on a claim
Medicare Coverage & Payment
- CMS short descriptor: Lancet device each
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Contextual Map
Every relationship of A4258 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- A4230 — Infusion set for external insulin pump, non needle cannula type[Sibling]— CMS HCPCS Level II code set
- A4231 — Infusion set for external insulin pump, needle type[Sibling]— CMS HCPCS Level II code set
- A4232 — Syringe with needle for external insulin pump, sterile, 3 cc[Sibling]— CMS HCPCS Level II code set
- A4233 — Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each[Sibling]— CMS HCPCS Level II code set
- A4234 — Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each[Sibling]— CMS HCPCS Level II code set
- A4235 — Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each[Sibling]— CMS HCPCS Level II code set
- A4236 — Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each[Sibling]— CMS HCPCS Level II code set
- A4238 — Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 1996 — Added to the code set [Change history]— CMS release files (code change ledger)
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — October 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "A4258 — Spring-powered device for lancet, each." HCPCS Level II October 2026. https://medcoder.ai/hcpcs/code/a4258-spring-powered-device-for-lancet-each
Change history
- January 1, 1996Added to the code setSpring-powered device for lancet, eachHCPCS 1996 changes
Nearest Codes in This Family
Official HCPCS Level II classifications closest to A4258 in its code family, with their registry titles.
- A4252 — Blood ketone test or reagent strip, each
- A4253 — Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips
- A4255 — Platforms for home blood glucose monitor, 50 per box
- A4256 — Normal, low and high calibrator solution / chips
- A4257 — Replacement lens shield cartridge for use with laser skin piercing device, each
- A4259 — Lancets, per box of 100
- A4261 — Cervical cap for contraceptive use
- A4262 — Temporary, absorbable lacrimal duct implant, each
- A4263 — Permanent, long term, non-dissolvable lacrimal duct implant, each
- A4264 — Permanent implantable contraceptive intratubal occlusion device(s) and delivery system