A4724 HCPCS code: Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis

A4724 is the HCPCS Level II code for dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met.

Code details

FieldValue
SectionA codes — Transportation, medical/surgical supplies and miscellaneous
Coverage codeD — Special coverage instructions apply
Pricing indicator00 — Not separately priced by Medicare
BETOS categoryP9B
Added2002-01-01
Last action effective2015-01-01

What changed for A4724

Frequently asked questions

What is HCPCS code A4724?

A4724 is the HCPCS Level II code for dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis. Short descriptor: "Dialys sol fld vol > 3999cc".

Does Medicare cover A4724?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

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Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.

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