2021/2022 HCPCS Code A4709

Acid concentrate, solution, for hemodialysis, per gallon
Short Description Acid conc sol per gallon
Procedure Note 0017 = SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510 - E1600, E1620, E1630 - E1699, A4650 - A4663, A4690, A4712, A4730 - A4870, A4890 - A4927.
HCPCS Coverage Code D = Special coverage instructions apply
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2015
HCPCS Code Added Date January 01, 2002
HCPCS Pricing Indicator Code 00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)
HCPCS Multiple Pricing Indicator Code 9 = Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established(pricing indicator is '99')
HCPCS Medicare Carriers Manual Reference Section Number 4270
HCPCS Type Of Service Code L = ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
HCPCS Anesthesia Base Unit Quantity 0