HCPCS codes / A / A4721
A4721
Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis
- Code type
- HCPCS Level II
- Coverage
- Special coverage instructions
- BETOS category
- P9B
- Pricing indicator
- 00
- Effective date
- 20150101
CMS processing noteSEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.