A4765 Dialysate concentrate, powder, additive for peritoneal dialysis, per packet

Short descriptor: Dialysate conc pow per pack

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A4765 is the HCPCS Level II code for Dialysate concentrate, powder, additive for peritoneal dialysis, per packet (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 A4765 with the canonical source and edition:

A4765 — Dialysate concentrate, powder, additive for peritoneal dialysis, per packet. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/A4765

Canonical URL: https://icd10codingpro.com/hcpcs-codes/A4765

Related Codes in Section A

← A4760 Dialysate sol test kit, each A4766 → Dialysate conc sol add 10 ml
A4740 Shunt accessory A4750 Art or venous blood tubing A4755 Comb art/venous blood tubing A4760 Dialysate sol test kit, each A4766 Dialysate conc sol add 10 ml A4770 Blood collection tube/vacuum A4771 Serum clotting time tube A4772 Blood glucose test strips A4773 Occult blood test strips A4774 Ammonia test strips
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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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