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A4721 Dialysat sol fld vol > 999cc

A Codes

Also known as: dialysate solution, exchange fluid, PD solution

Prepared dialysate solution with fluid volume between 1000-1999 milliliters used for peritoneal dialysis exchanges. Appropriate for standard dwell exchanges.

In Plain Language

dialysis cleaning fluid; peritoneal dialysis exchange solution

Clinical Context

Standard size for peritoneal dialysis exchanges. Contains electrolytes, buffer, and glucose for osmotic ultrafiltration. Used in continuous ambulatory peritoneal dialysis (CAPD).

RVU Information

CPT A4721 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.

Specialties

NephrologyDialysis

Frequently Asked Questions

What is CPT code A4721?

CPT A4721 (Dialysat sol fld vol > 999cc) is a A Codes code. Prepared dialysate solution with fluid volume between 1000-1999 milliliters used for peritoneal dialysis exchanges. Appropriate for standard dwell exchanges.

Does Medicare cover A4721?

Medicare coverage for A4721 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Standard size for peritoneal dialysis exchanges. Contains electrolytes, buffer, and glucose for osmotic ultrafiltration. Used in continuous ambulatory peritoneal dialysis (CAPD). A physician order is typically required.

When is CPT A4721 used?

Standard size for peritoneal dialysis exchanges. Contains electrolytes, buffer, and glucose for osmotic ultrafiltration. Used in continuous ambulatory peritoneal dialysis (CAPD).

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.