A4722 Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
Short descriptor: Dialys sol fld vol > 1999cc
Look up A4722 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
A4722 is the HCPCS Level II code for Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis (2026). It belongs to Section A — Transportation, Medical & Surgical Supplies. Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Not separately priced by Part B.
Classification & CMS Attributes
- Medicare Coverage
- Special coverage instructions apply (code D)
- Part B Pricing
- Not separately priced by Part B (indicator 00)
- Type of Service
- ESRD supplies
- Effective Date
- 2015-01-01
- 2026 Maintenance
- No change this year
References
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Reference A4722 with the canonical source and edition:
A4722 — Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/A4722
Canonical URL: https://icd10codingpro.com/hcpcs-codes/A4722