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Syringe, with or without needle, each

HCPCS code

Name of the Procedure:

Common name(s): Syringe with or without needle
Technical/medical term: HCPCS Procedure Code A4657


A syringe, with or without a needle, is a medical tool used to inject or withdraw fluids from the body. It is a simple, versatile instrument commonly used in various medical settings for different treatments and diagnostic procedures.


This device is used for:

  • Administering medications or vaccines.
  • Drawing blood or other bodily fluids for testing.
  • Flushing wounds or IV lines.
  • Delivering small amounts of fluid to specific areas in the body.

The primary goal is to provide a means to deliver fluids to or remove fluids from the body safely and efficiently.


  • Need for medication injection (e.g., insulin, vaccines).
  • Blood sampling for diagnostic tests.
  • Delivery of intravenous therapy.
  • Irrigation of wounds or IV lines.

    Patients requiring fluid administration or withdrawal for medical treatment or diagnosis are appropriate candidates for the use of a syringe.


  • Patients may need to clean the area with an antiseptic wipe if self-administering at home.
  • Healthcare practitioners will ensure the syringe and needle, if used, are sterile.
  • No specific fasting or medication adjustments are generally required unless specified by the healthcare provider.

Procedure Description

  1. Preparation: Gather the syringe, needle (if required), medication, or collection device.
  2. Assembly: Attach the needle to the syringe if it is not pre-attached.
  3. Drawing Fluid: Withdraw the necessary volume of fluid into the syringe, or prepare the area for injection.
  4. Injection/Withdrawal: For injections, insert the needle into the relevant body part and push the plunger to administer. For withdrawals, draw back the plunger to collect a specimen or fluid.
  5. Completion: Dispose of the syringe and needle in a designated sharps container safely.

Tools: Syringe, needle, antiseptic wipes, and prescribed medication or collection container.

Anesthesia or Sedation: Not applicable for routine use.


Typically, the entire procedure takes a few minutes.


Performed in a variety of settings including:

  • Hospitals
  • Outpatient clinics
  • Doctor's offices
  • At home (self-administration)


Primarily performed by:

  • Nurses
  • Physicians
  • Trained medical technicians
  • Patients themselves (in cases of self-administration like insulin shots)

Risks and Complications

Common risks:

  • Minor pain or discomfort.
  • Bleeding or bruising at the injection site.

Rare complications:

  • Infection at the injection site.
  • Allergic reaction to the medication.

Management involves following aseptic techniques and adhering strictly to procedural guidelines.


  • Effective and quick delivery or removal of fluids.
  • Essential for proper management of numerous medical conditions.
  • Immediate onset of action for many medications.

Expected benefits are typically realized almost immediately after the procedure.


  • Keep the injection or draw site clean and covered, if necessary.
  • Monitor for any signs of infection or adverse reaction.
  • No significant downtime; normal activities can usually be resumed immediately.
  • Follow-up appointments may be needed for ongoing treatments.


Alternative methods include:

  • Oral medication (for cases where injections are not necessary).
  • Topical treatments (creams, patches).
  • Intravenous (IV) therapy for larger volumes of fluid.

Pros of alternatives: Non-invasive options may reduce discomfort and infection risk. Cons of alternatives: May not be as effective or quick in delivering medication or fluids compared to injections or withdrawals.

Patient Experience

During the procedure:

  • Minor discomfort or a mild sting during needle insertion.
  • Sensation of fluid entering or leaving the body.

After the procedure:

  • Slight soreness at the injection site.
  • Rarely, minor bruising.

Pain management can include applying a cold compress and taking over-the-counter pain relievers if necessary.

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