HCPCS Code A4725
Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis
| Short Description | Dialys sol fld vol > 4999cc |
|---|---|
| Year | 2026 |
| Coverage Code | D = Special coverage instructions apply |
| Action Code | N = No maintenance for this code |
| Action Effective Date | January 01, 2015 |
| Code Added Date | January 01, 2002 |
| Pricing Indicator | 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.) |
| Type of Service | L = ESRD supplies (eff 04/95) (renal supplier in the home before 04/95) |