HCPCS Code A4722
Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
Basic Information
- Added:
- 1/1/2002
- HCPCS Action Effective Date
- 1/1/2015
- Termination Date
- 1/1/0001
- HCPCS Action Code/Description
- N / No maintenance for this code
- Short Description
- Dialys sol fld vol > 1999cc
- Long Description
- Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
- HCPCS Statute
- Anesthesia Base Unit Quantity
- 0
- Processing Note Number
- 0017
Service Code Information
- HCPCS Berenson-Eggers Type Of Service Code/Description
- P9B / Dialysis services (non-medicare fee schedule)
- HCPCS Type Of Service Code #1
- Type Of Service Code #1 Description
- ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
- HCPCS Type Of Service Code #2
- Type Of Service Code #2 Description
- HCPCS Type Of Service Code #3
- Type Of Service Code #3 Description
- HCPCS Type Of Service Code #4
- Type Of Service Code #4 Description
Laboratory Information
- Laboratory Certification Code #1
- Description
- Laboratory Certification Code #2
- Description
- Laboratory Certification Code #3
- Description
- Laboratory Certification Code #4
- Description
- Laboratory Certification Code #5
- Description
- Laboratory Certification Code #6
- Description
- Laboratory Certification Code #7
- Description
- Laboratory Certification Code #8
- Description
Pricing/Coverage Information
- Coverage Code
- D
- Description
- Special coverage instructions apply
- ASC Payment Group Code
- ASC Payment Group Effective Date
- 1/1/0001
- Pricing Indicator Code #1
- 00
- Pricing Indicator Code #1 Type
- Pricing Indicator Code #3
- Pricing Indicator Code #3 Type
- Pricing Indicator Code #4
- Pricing Indicator Code #4 Type
- Multi-Pricing Indicator Code
- 9
- Coverage Issues Manual Reference Section #1
- Coverage Issues Manual Reference Section #2
- Coverage Issues Manual Reference Section #3
- Medicare Carriers Manual Reference Section #1
- 4270
- Medicare Carriers Manual Reference Section #2
- Medicare Carriers Manual Reference Section #3
HCPCS Cross Reference Codes for A4722
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