Table of content for "Sterile water/saline, 10 ml" (HCPCS A4216)
General information on the “A4216” code
HCPCS Code: A4216
Long Description: Sterile water, saline and/or dextrose, diluent/flush, 10 ml
Short Description: Sterile water/saline, 10 ml
Original information is taken from A4216 page
Pricing indicators
Pricing Indicator Code 1: 37 – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: 1 – Medical care
Type Of Service 2: L – ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
Type Of Service 3: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20040101
Code Effective Date: 20070101
Action Code: N – No maintenance for this code