A4216 HCPCS Level II code: Sterile water, saline and/or dextrose, diluent/flush, 10 ml
A4216 is the HCPCS code for “Sterile water, saline and/or dextrose, diluent/flush, 10 ml” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4216Sterile water, saline and/or dextrose, diluent/flush, 10 ml
Short description: Sterile water/saline, 10 ml
HCPCS · United States
Medicare details
The indicators CMS publishes with A4216 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- DMEPOS fee schedule – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
- Type of service
- Medical care; ESRD supplies; Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Jan 1, 2004
Where A4216 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4216Sterile water, saline and/or dextrose, diluent/flush, 10 ml
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code A4216 mean?
A4216 is the HCPCS code for “Sterile water, saline and/or dextrose, diluent/flush, 10 ml” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4216?
CMS lists A4216’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside A4216
All A codesA4209Syringe with needle, sterile 5 cc or greater, eachA4210Needle-free injection device, eachA4211Supplies for self-administered injectionsA4212Non-coring needle or stylet with or without catheterA4213Syringe, sterile, 20 cc or greater, eachA4215Needle, sterile, any size, eachA4217Sterile water/saline, 500 mlA4218Sterile saline or water, metered dose dispenser, 10 mlA4220Refill kit for implantable infusion pumpA4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)A4223Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)