HCPCS Code Details - A4728

HCPCS Level II Code
Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4728
Description

Long description:
Dialysate solution, non-dextrose containing, 500 ml

Short description:
Dialysate solution, non-dex

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code C - Carrier judgment
BETOS2 code P9B - Dialysis services (non-medicare fee schedule)
HCPCS Action code N - No maintenance for this code
Type of service L - ESRD supplies
Effective date Effective Jan 01, 2015
Date added Added Jan 01, 2004
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS A4726 · Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis

  • HCPCS A4730 · Fistula cannulation set for hemodialysis, each


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”