HCPCS Code A4728

Dialysate solution, non-dextrose containing, 500 ml
Short DescriptionDialysate solution, non-dex
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2015
Code Added DateJanuary 01, 2004
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)