A4722 (3483)    PROSTHETIC HCPCS (661.1)

Name Value
HCPCS A4722
SHORT NAME DIALYSATE SOLUTION, ANY
CPT File: 81, IEN: 104840
STATUS ACTIVE
NPPD NEW CODE 920 B
DESCRIPTION
  • Dialysate solution, any concentration of dextrose, fluid
  • volume greater than 1999 cc, but less than or equal to
  • 2999 cc, for peritoneal dialysis