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Syringe, sterile, 20 cc or greater, each

HCPCS code

Name of the Procedure:

Syringe, Sterile, 20 cc or Greater, Each (HCPCS Code: A4213)

Common name(s): Large Volume Sterile Syringe
Technical or medical terms: 20 cc Syringe, Sterile Medical Syringe


A sterile 20 cc syringe is a medical device used for a variety of medical purposes, including drawing fluids from the body, administering medications, or flushing medical lines. It is a single-use, disposable instrument ensuring sterility and patient safety.


The primary purpose of this syringe is to:

  • Administer larger volumes of medication or fluids.
  • Draw significant volumes of bodily fluids for testing.
  • Flush medical lines or equipment to maintain sterility and functionality.


This syringe is indicated for patients who:

  • Require medications or fluids in larger volumes.
  • Need diagnostic tests that involve extracting bodily fluids.
  • Require flushing of intravenous (IV) or urinary lines.


  • Fasting: Not required.
  • Medications: Patients may need to consult their healthcare provider regarding medications, especially if undergoing diagnostic fluid draws.
  • Diagnostic Tests: None typically required for the use of the syringe itself, although related procedures may involve tests.

Procedure Description

  1. Materials Used: Sterile 20 cc syringe, medication/vial, sanitation materials.
  2. Step-by-Step:
    • Sanitize the work area and the injection site if applicable.
    • Unwrap the sterile syringe without contaminating it.
    • Draw the medication or fluid into the syringe.
    • Administer the fluid by injection or use for fluid extraction/flushing.
  3. Anesthesia/Sedation: Not applicable for the use of the syringe alone.


Typically takes a few minutes, depending on the specific use case (e.g., injecting medication vs. drawing blood).


  • Hospitals
  • Outpatient clinics
  • Surgical centers
  • Home healthcare settings under professional supervision


  • Nurses
  • Physicians
  • Medical Assistants
  • Other trained healthcare professionals

Risks and Complications

  • Common Risks: Minor pain or discomfort at the injection site.
  • Rare Risks: Infection, allergic reaction, tissue damage if improperly used.
  • Complications: Can usually be managed by professional medical staff if they arise.


  • Expected Benefits: Safe and effective administration or drawing of fluids or medications.
  • Realization Time: Immediate upon proper use.


  • Post-Procedure Care: Minimal; typically just care of the injection or extraction site.
  • Recovery Time: Immediate; no significant downtime.
  • Restrictions/Follow-up: Usually none, unless related to the underlying medical condition being treated.


  • Other Options: Using smaller volume syringes (optimal for different dosages).
  • Pros and Cons: Smaller syringes may require multiple administrations, can be less efficient for larger volume needs.

Patient Experience

  • During Procedure: Minor discomfort at the injection site.
  • After Procedure: Usually minor pain or swelling that subsides quickly.
  • Pain Management: If needed, over-the-counter pain relief and cold compresses can be used.

This detailed documentation aims to provide clear and comprehensive information on the use of sterile 20 cc syringes, ensuring informed patient care and optimal medical outcomes.

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