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HCPCS Procedure & Supply Codes

Medical And Surgical Supplies

section notes

Dialysis Supplies

section notes
A4651   Calibrated microcapillary tube, each
A4652   Microcapillary tube sealant
A4653   Peritoneal dialysis catheter anchoring device, belt, each
A4657   Syringe, with or without needle, each
A4660   Sphygmomanometer/blood pressure apparatus with cuff and stethoscope
A4663   Blood pressure cuff only
A4670   Automatic blood pressure monitor
A4671   Disposable cycler set used with cycler dialysis machine, each
A4672   Drainage extension line, sterile, for dialysis, each
A4673   Extension line with easy lock connectors, used with dialysis
A4674   Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz
A4680   Activated carbon filter for hemodialysis, each
A4690   Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each
A4706   Bicarbonate concentrate, solution, for hemodialysis, per gallon
A4707   Bicarbonate concentrate, powder, for hemodialysis, per packet
A4708   Acetate concentrate solution, for hemodialysis, per gallon
A4709   Acid concentrate, solution, for hemodialysis, per gallon
A4714   Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis...
A4719   "y set" tubing for peritoneal dialysis
A4720   Dialysate solution, any concentration of dextrose, fluid volume greater than 249...
A4721   Dialysate solution, any concentration of dextrose, fluid volume greater than 999...
A4722   Dialysate solution, any concentration of dextrose, fluid volume greater than 199...
A4723   Dialysate solution, any concentration of dextrose, fluid volume greater than 299...
A4724   Dialysate solution, any concentration of dextrose, fluid volume greater than 399...
A4725   Dialysate solution, any concentration of dextrose, fluid volume greater than 499...
A4726   Dialysate solution, any concentration of dextrose, fluid volume greater than 599...
A4728   Dialysate solution, non-dextrose containing, 500 ml
A4730   Fistula cannulation set for hemodialysis, each
A4736   Topical anesthetic, for dialysis, per gram
A4737   Injectable anesthetic, for dialysis, per 10 ml
A4740   Shunt accessory, for hemodialysis, any type, each
A4750   Blood tubing, arterial or venous, for hemodialysis, each
A4755   Blood tubing, arterial and venous combined, for hemodialysis, each
A4760   Dialysate solution test kit, for peritoneal dialysis, any type, each
A4765   Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
A4766   Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml
A4770   Blood collection tube, vacuum, for dialysis, per 50
A4771   Serum clotting time tube, for dialysis, per 50
A4772   Blood glucose test strips, for dialysis, per 50
A4773   Occult blood test strips, for dialysis, per 50
A4774   Ammonia test strips, for dialysis, per 50
A4802   Protamine sulfate, for hemodialysis, per 50 mg
A4860   Disposable catheter tips for peritoneal dialysis, per 10
A4870   Plumbing and/or electrical work for home hemodialysis equipment
A4890   Contracts, repair and maintenance, for hemodialysis equipment
A4911   Drain bag/bottle, for dialysis, each
A4913   Miscellaneous dialysis supplies, not otherwise specified
A4918   Venous pressure clamp, for hemodialysis, each
A4927   Gloves, non-sterile, per 100
A4928   Surgical mask, per 20
A4929   Tourniquet for dialysis, each
A4930   Gloves, sterile, per pair
A4931   Oral thermometer, reusable, any type, each
A4932   Rectal thermometer, reusable, any type, each
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