HCPCS Code A4217

Sterile water/saline, 500 ml
Short DescriptionSterile water/saline, 500 ml
Year2026
Coverage CodeD = Special coverage instructions apply
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2004
Code Added DateJanuary 01, 2004
Pricing Indicator37 = Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
Type of Service1 = Medical care L = ESRD supplies (eff 04/95) (renal supplier in the home before 04/95) P = Lump sum purchase of DME, prosthetics, orthotics