A4721 (3482) PROSTHETIC HCPCS (661.1)
Name
Value
HCPCS
A4721
SHORT NAME
DIALYSATE SOLUTION
CPT
File: 81, IEN: 104840
STATUS
ACTIVE
NPPD NEW CODE
920 B
DESCRIPTION
Dialysate solution, any concentration of dextrose, fluid
fluid volume greater than 999 cc, but less than or equal
to 1999 cc for peritoneal dialysis
