HCPCS Procedure & Supply Codes

Medical And Surgical Supplies

section notes

Dialysis Supplies

section notes
A4651   Calibrated microcap tube
A4652   Microcapillary tube sealant
A4653   Pd catheter anchor belt
A4657   Syringe w/wo needle
A4660   Sphyg/bp app w cuff and stet
A4663   Dialysis blood pressure cuff
A4670   Automatic bp monitor, dial
A4671   Disposable cycler set
A4672   Drainage ext line, dialysis
A4673   Ext line w easy lock connect
A4674   Chem/antisept solution, 8oz
A4680   Activated carbon filter, ea
A4690   Dialyzer, each
A4706   Bicarbonate conc sol per gal
A4707   Bicarbonate conc pow per pac
A4708   Acetate conc sol per gallon
A4709   Acid conc sol per gallon
A4714   Treated water per gallon
A4719   "y set" tubing
A4720   Dialysat sol fld vol > 249cc
A4721   Dialysat sol fld vol > 999cc
A4722   Dialys sol fld vol > 1999cc
A4723   Dialys sol fld vol > 2999cc
A4724   Dialys sol fld vol > 3999cc
A4725   Dialys sol fld vol > 4999cc
A4726   Dialys sol fld vol > 5999cc
A4728   Dialysate solution, non-dex
A4730   Fistula cannulation set, ea
A4736   Topical anesthetic, per gram
A4737   Inj anesthetic per 10 ml
A4740   Shunt accessory
A4750   Art or venous blood tubing
A4755   Comb art/venous blood tubing
A4760   Dialysate sol test kit, each
A4765   Dialysate conc pow per pack
A4766   Dialysate conc sol add 10 ml
A4770   Blood collection tube/vacuum
A4771   Serum clotting time tube
A4772   Blood glucose test strips
A4773   Occult blood test strips
A4774   Ammonia test strips
A4802   Protamine sulfate per 50 mg
A4860   Disposable catheter tips
A4870   Plumb/elec wk hm hemo equip
A4890   Repair/maint cont hemo equip
A4911   Drain bag/bottle
A4913   Misc dialysis supplies noc
A4918   Venous pressure clamp
A4927   Non-sterile gloves
A4928   Surgical mask
A4929   Tourniquet for dialysis, ea
A4930   Sterile, gloves per pair
A4931   Reusable oral thermometer
A4932   Reusable rectal thermometer
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