Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis

A4722
HCPCS Code

2023 HCPCS
Billable/Valid Code

A4722 is a valid 2023 HCPCS Code that could be used to indicate Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis for reimbursement purposes.

A4722 belongs to ESRD Supplies Type of Service and has been in effect since Jan 01, 2015.

Short description for A4722 HCPCS code:

Dialys sol fld vol > 1999cc

HCPCS A4722

A4722 code information

HCPCS code:	A4722
Description:	DIALYSATE SOLUTION, ANY CONCENTRATION OF DEXTROSE, FLUID VOLUME GREATER THAN 1999 CC BUT LESS THAN OR EQUAL TO 2999 CC, FOR PERITONEAL DIALYSIS
Effective Date:	Jan 01, 2015
Added Date:	Jan 01, 2002
Termination Date:	HCPCS A4722 was terminated on Nov 30, -0001
Pricing indicator:	`00` - SERVICE NOT SEPARATELY PRICED BY PART B (E.G., SERVICES NOT COVERED, BUNDLED, USED BY PART A ONLY, ETC.) PHYSICIAN FEE SCHEDULE AND NON-PHYSICIAN PRACTITIONERS
Multi Pricing indicator:	`9` - NOT APPLICABLE AS HCPCS NOT PRICED SEPARATELY BY PART B (PRICING INDICATOR IS 00) OR VALUE IS NOT ESTABLISHED (PRICING INDICATOR IS ´99´)
Coverage code:	`D` - SPECIAL COVERAGE INSTRUCTIONS APPLY
BETOS code:	`P9B` - DIALYSIS SERVICES (NON MFS)
Action code:	`N` - NO MAINTENANCE FOR THIS CODE
Type of Service:	`L` - ESRD SUPPLIES
Anesthesia BUQ:	0