A4714 HCPCS Level II code: Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon

A4714 is the HCPCS code for “Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

A4714

Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon

Short description: Treated water per gallon

HCPCS · United States

Notes for A4714

As CMS prints them, with any note A4714 takes from the headings above it.

Note

  • CMS processing note 0017: SEE INTERMEDIARY MANUAL SECTION 3170.5 FOR COVERAGE INSTRUCTIONS PERTAINING TO E1510-E1600, E1620, E1630-E1699, A4650-A4663, A4690, A4712, A4730-A4870, A4890-A4927.

Medicare details

The indicators CMS publishes with A4714 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Special coverage instructions apply
Medicare pricing
Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
Type of service
ESRD supplies
BETOS category
Dialysis services (Non-Medicare fee schedule)
Added
Jan 1, 1986

Where A4714 sits

  1. 1A codesAmbulance, supplies and miscellaneous
  2. 2Active code A4714Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon

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 A4714 mean?

A4714 is the HCPCS code for “Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover A4714?

CMS lists A4714’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. 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.