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 | ||
BETOS Classification : Dialysis services (Non-Medicare Fee Schedule) | ||
Medicare coverage status:Special coverage instructions apply |