A4728 HCPCS Level II code: Dialysate solution, non-dextrose containing, 500 ml
A4728 is the HCPCS code for “Dialysate solution, non-dextrose containing, 500 ml” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4728Dialysate solution, non-dextrose containing, 500 ml
Short description: Dialysate solution, non-dex
HCPCS · United States
Medicare details
The indicators CMS publishes with A4728 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- 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, 2004
Where A4728 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4728Dialysate solution, non-dextrose containing, 500 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 A4728 mean?
A4728 is the HCPCS code for “Dialysate solution, non-dextrose containing, 500 ml” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4728?
CMS lists A4728’s Medicare coverage as “Carrier judgment” 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.
Codes beside A4728
All A codesA4721Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysisA4722Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysisA4723Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysisA4724Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysisA4725Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysisA4726Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysisA4730Fistula cannulation set for hemodialysis, eachA4736Topical anesthetic, for dialysis, per gramA4737Injectable anesthetic, for dialysis, per 10 mlA4740Shunt accessory, for hemodialysis, any type, eachA4750Blood tubing, arterial or venous, for hemodialysis, eachA4755Blood tubing, arterial and venous combined, for hemodialysis, each