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A4721 Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis

Billable / valid for submission HCPCS Release 2026Q3

Short description: Dialysat sol fld vol > 999cc

Version history

ReleaseValid fromValid toDescriptionBillable
2026Q32026-07-01currentDialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysisyes

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