HCPCS Code A4726

Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis
Short DescriptionDialys sol fld vol > 5999cc
Year2026
Coverage CodeD = Special coverage instructions apply
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2015
Code Added DateJanuary 01, 2002
Pricing Indicator00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)
Type of ServiceL = ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)