A4706 Bicarbonate concentrate, solution, for hemodialysis, per gallon billable
A4707 Bicarbonate concentrate, powder, for hemodialysis, per packet billable
A4708 Acetate concentrate solution, for hemodialysis, per gallon billable
A4709 Acid concentrate, solution, for hemodialysis, per gallon billable
A4714 Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon billable
A4719 "y set" tubing for peritoneal dialysis billable
A4720 Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis billable
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
A4722 Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis billable
A4723 Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis billable
A4724 Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis billable
A4725 Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis billable
A4726 Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis billable
A4728 Dialysate solution, non-dextrose containing, 500 ml billable
A4730 Fistula cannulation set for hemodialysis, each billable
A4736 Topical anesthetic, for dialysis, per gram billable
A4737 Injectable anesthetic, for dialysis, per 10 ml billable
A4740 Shunt accessory, for hemodialysis, any type, each billable
A4750 Blood tubing, arterial or venous, for hemodialysis, each billable
A4755 Blood tubing, arterial and venous combined, for hemodialysis, each billable
A4760 Dialysate solution test kit, for peritoneal dialysis, any type, each billable
A4765 Dialysate concentrate, powder, additive for peritoneal dialysis, per packet billable
A4766 Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml billable
A4770 Blood collection tube, vacuum, for dialysis, per 50 billable
A4771 Serum clotting time tube, for dialysis, per 50 billable
A4772 Blood glucose test strips, for dialysis, per 50 billable
A4773 Occult blood test strips, for dialysis, per 50 billable
A4774 Ammonia test strips, for dialysis, per 50 billable