HCPCS Level IIsuppliesActive
A4720
Dialysat sol fld vol > 249cc
BETOS: P9B
Effective: 2015-01-01
Referenced in 1 policies
Description
Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
Statutory Exclusion
This code has a statutory exclusion from Medicare coverage.
Coverage Policies