Summary & Overview
HCPCS A4674: Dialysis Antiseptic/Cleaning Solution, 8 oz
HCPCS Level II code A4674 represents an antiseptic/chemical solution packaged per 8 ounces for cleaning and sterilizing dialysis equipment. The code is relevant for dialysis providers and supply managers because it identifies a consumable used in infection control and equipment reprocessing across outpatient dialysis centers and infusion clinics. Nationally, correct coding of dialysis supplies supports accurate claims processing, inventory tracking, and adherence to infection-control billing practices.
Key payers covered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what A4674 denotes, common sites of service for its use, and the typical billing context for dialysis supply lines. The publication provides benchmarks and payment context where available, summarizes relevant policy considerations affecting supply billing in dialysis settings, and offers clinical context about how this antiseptic solution fits into standard reprocessing protocols.
This summary is intended for revenue cycle managers, clinical operations leaders, and billing professionals who manage supply coding and claims for dialysis services. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code A4674 describes a chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz. This supply is used in the dialysis supply/service line, specifically for cleansing and sterilizing reusable dialysis components and related equipment between patient treatments. The typical site of service is dialysis clinics or outpatient dialysis units, where staff apply the solution as part of routine equipment reprocessing and infection-control protocols.
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Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves a maintenance hemodialysis center preparing dialysis machines and associated reusable supplies for patient treatments. A dialysis technician or nurse uses a chemical/antiseptic solution to disinfect dialyzers, blood lines, chairs, and machine surfaces between patient sessions. The workflow: after a patient dialysis session concludes, the technician performs point‑of‑care cleaning and high‑level disinfection per facility protocol. The solution packaged and billed as A4674 (chemicals/antiseptics solution, per 8 oz) is removed from inventory, measured, and applied to equipment per manufacturer and infection control guidelines. Documentation includes the product name, lot number, amount used (in 8‑ounce units), date/time, machine or station identifier, and staff initials. Typical site of service is an outpatient dialysis facility or hospital dialysis unit. Common accompanying activities include routine post‑treatment cleaning, periodic deep disinfection, and processing of reusable dialyzers when applicable.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier - standard service | Use when billing the supply with no special circumstances. |
22 |