- 2016 HCPCS A4722
- Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
- Added on Tuesday, January 01, 2002
- Status changed on Thursday, January 01, 2015 to: No maintenance for this code
- BETOS Classification: Dialysis Services > Non-Medicare Fee Schedule
- Medicare coverage status: Special coverage instructions apply
- HCPCS Medicare Carriers Manual Reference Section Number: 4270
A4721 A4723 
