A4765 HCPCS Level II code: Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
A4765 is the HCPCS code for “Dialysate concentrate, powder, additive for peritoneal dialysis, per packet” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4765Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
Short description: Dialysate conc pow per pack
HCPCS · United States
Notes for A4765
As CMS prints them, with any note A4765 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 A4765 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 A4765 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4765Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
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 A4765 mean?
A4765 is the HCPCS code for “Dialysate concentrate, powder, additive for peritoneal dialysis, per packet” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4765?
CMS lists A4765’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.
Codes beside A4765
All A codesA4736Topical 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, eachA4760Dialysate solution test kit, for peritoneal dialysis, any type, eachA4766Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 mlA4770Blood collection tube, vacuum, for dialysis, per 50A4771Serum clotting time tube, for dialysis, per 50A4772Blood glucose test strips, for dialysis, per 50A4773Occult blood test strips, for dialysis, per 50A4774Ammonia test strips, for dialysis, per 50