2021/2022 HCPCS Code A4216

Sterile water, saline and/or dextrose, diluent/flush, 10 ml
Short Description Sterile water/saline, 10 ml
HCPCS Coverage Code D = Special coverage instructions apply
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2007
HCPCS Code Added Date January 01, 2004
HCPCS Pricing Indicator Code 37 = Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number 2049
HCPCS Type Of Service Code 1 = Medical care
L = ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
P = Lump sum purchase of DME, prosthetics, orthotics
HCPCS Anesthesia Base Unit Quantity 0