CommercialBilling CodesMedium impact
11.15.03p, Insertion of Implantable Infusion Pumps
Independence Blue Cross·Oncology, Neurology, Pain Management +3 more·Pharmacy
Effective date
Oct 1, 2026
We identified it
Oct 2, 2026
Summary
Independence Blue Cross added HCPCS code A4228 (supplies for maintenance of non-insulin, device-drug combination infusion catheter, per week) to policy 11.15.03p effective 10/01/2026. This new code enables billing for infusion catheter maintenance supplies used with combination device-drug systems for implantable infusion pumps. Billing teams must update systems to recognize and process this code for covered infusion pump indications (chemotherapy, spasticity, chronic pain).
Action Required
By 10/01/2026: Billing team must update billing software and fee schedules to recognize and process HCPCS code A4228 for reimbursement. Add A4228 to claim submission logic for patients with covered implantable infusion pumps (chemotherapy, intrathecal antispasmodic, or intrathecal/epidural opioid indications). Verify that payer's billing system includes A4228 in the medically necessary code set. Educate clinical staff that A4228 is now billable for device-drug combination catheter maintenance supplies on a per-week basis. Without this update, claims containing A4228 may be denied or rejected as unrecognized codes.