HCPCS Level IIsuppliesActive
A4765
Dialysate conc pow per pack
BETOS: P9B
Effective: 2015-01-01
Referenced in 1 policies
Description
Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
Statutory Exclusion
This code has a statutory exclusion from Medicare coverage.
Coverage Policies