HCPCS Level IIsuppliesActive
A4725
Dialys sol fld vol > 4999cc
BETOS: P9B
Effective: 2015-01-01
Description
Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 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