Preferred Name

Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis

Synonyms
ID

http://purl.bioontology.org/ontology/HCPCS/A4723

cui

C0993692

HAC

N=No maintenance for this code

HAD

20150101

HAQ

0

HBT

P9B=Dialysis services (Non-Medicare fee schedule)

HCC

D=Special coverage instructions apply

HCD

20020101

HMP

9=Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')

HMR

4270

HPI

00=Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)

HPN

0017=SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.

HTS

L=ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)

notation

A4723

prefLabel

Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis

tui

T200

subClassOf

http://purl.bioontology.org/ontology/HCPCS/Level%203%3A%20A4653-A4932

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