Summary & Overview
HCPCS A4724: Dialysate Solution for Peritoneal Dialysis, 4000–4999 cc
HCPCS Level II code A4724 represents a dialysate solution for peritoneal dialysis in volumes greater than 3,999 cc up to 4,999 cc, at any dextrose concentration. Nationally, this supply code matters because it identifies a specific large-volume dialysis fluid used in outpatient and home peritoneal dialysis care, which affects billing, supply logistics, and clinical regimen documentation. Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn what the code denotes clinically and operationally, which payers commonly cover the supply, and the typical settings where this product is used. The publication outlines billing benchmarks, common payer coverage patterns, and policy considerations related to supply coding for peritoneal dialysis. The content also summarizes clinical context for use of large-volume dialysate in peritoneal dialysis regimens and highlights areas where coding specificity can influence claims processing and reimbursement classification. Data not available in the input regarding associated taxonomies, ICD-10 diagnoses, and related codes is noted where relevant.
Billing Code Overview
HCPCS Level II code A4724 describes a dialysate solution for peritoneal dialysis in a fluid volume greater than 3999 cc but less than or equal to 4999 cc, at any dextrose concentration. The service type for this code is the supply of large-volume peritoneal dialysis dialysate solution. The typical site of service is outpatient or home-based peritoneal dialysis settings where dialysate bags of this specified volume are used.
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with end-stage renal disease maintained on continuous ambulatory peritoneal dialysis (CAPD) presents for routine exchange using prepackaged dialysate solution in a 4500 mL bag (A4724). The patient receives training in a clinic and performs exchanges at home; supplies are ordered monthly and delivered to the home. A typical clinical workflow: clinician documents indication (chronic kidney disease, stage 5), assesses peritoneal catheter site for infection, confirms prescription of dialysate concentration and volume, obtains insurance authorization if required, and arranges durable medical equipment/supply billing for the monthly supply of A4724 bags. Nursing documents exchange technique education, any adverse events (e.g., peritonitis signs), and communicates prescription changes to the dialysis supplier.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier or standard claim | Use when no special circumstances apply. |
22 | Increased procedural services |