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HCPCS A4216

Sterile water, saline and/or dextrose, diluent/flush, 10 ml

Table of Contents

  1. HCPCS Information
  2. HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: A4216
The Healthcare Common Procedure Coding System (HCPCS) is a set of unique alphanumeric codes used to report medical procedures and services to healthcare programs like Medicare and Medicaid. HCPCS codes are used in conjunction with NDC codes for billing and medical documentation puporses. For instance, HCPCS A4216 identifies the type of service or supply used while any of the 58 NDC codes below could be used to specify the exact drug used.
Short Description
Sterile water/saline, 10 ml
Long Description
Sterile water, saline and/or dextrose, diluent/flush, 10 ml
Pricing Indicator
Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
Multiple Pricing Indicator
Not applicable as HCPCS priced under one methodology
Coverage Description
Special coverage instructions apply
BETOS Type of Service
Prosthetic/Orthotic devices
HCPCS Classification
List of HCPCS codes for: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental (A-codes)

HCPCS Crossover to NDC Codes

The NDC codes below allow precise billing based on the specific manufacturer and medication used:

NDC Proprietary Name Non-Proprietary Name Dosage Form Route Name Company Name Status
0264-1800Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousB. Braun Medical Inc.ACTIVE
0264-5804Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousB. Braun Medical Inc.ACTIVE
0338-0049Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousBaxter Healthcare CorporationACTIVE
0338-0553Sodium Chloride Sodium ChlorideInjectionIntravenousBaxter Healthcare CorporationACTIVE
0338-9151Sodium Chloride Sodium ChlorideInjectionIntravenousBaxter Healthcare CorporationACTIVE
0338-9657Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousBaxter Healthcare CorporationACTIVE
0338-9660Sodium Chloride Sodium ChlorideInjectionIntravenousBaxter Healthcare CorporationACTIVE
0338-9661Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousBaxter Healthcare CorporationACTIVE
0338-9662Sodium Chloride Sodium ChlorideInjectionIntravenousBaxter Healthcare CorporationACTIVE
0409-0024Sterile Water WaterInjectionIntramuscular; Intravenous; SubcutaneousHospira, Inc.ACTIVE
0409-1918Sodium Chloride Hospira, Inc.
0409-1918Sodium Chloride Hospira, Inc.
0409-1966Bacteriostatic Sodium Chloride Sodium ChlorideInjection, SolutionIntramuscular; Intravenous; SubcutaneousHospira, Inc.ACTIVE
0409-2102Sodium Chloride Hospira, Inc.
0409-3977Bacteriostatic Water Bacteriostatic WaterInjection, SolutionIntramuscular; Intravenous; SubcutaneousHospira, Inc.ACTIVE
0409-4887Sterile Water WaterInjectionIntramuscular; Intravenous; SubcutaneousHospira, Inc.ACTIVE
0409-4887Sterile Water Hospira, Inc.
0409-4888Sodium Chloride Sodium ChlorideInjection, SolutionIntramuscular; Intravenous; SubcutaneousHospira, Inc.ACTIVE
0409-7101Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousHospira, Inc.ACTIVE
0409-7984Sodium Chloride Hospira, Inc.
0409-7984Sodium Chloride Hospira, Inc.
0517-3005Sterile Water American Regent, Inc.
0517-3010Sterile Water WaterInjection, SolutionIntravenousAmerican Regent, Inc.ACTIVE
0517-3020Sterile Water WaterInjection, SolutionIntravenousAmerican Regent, Inc.ACTIVE
0641-6147Sterile Water WaterInjection, SolutionIntramuscular; Intravenous; SubcutaneousHikma Pharmaceuticals Usa Inc.ACTIVE
0990-7118Sterile Water WaterInjection, SolutionIntravenousIcu Medical Inc.ACTIVE
0990-7730Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousIcu Medical Inc.ACTIVE
0990-7924Dextrose And Sodium Chloride Dextrose Monohydrate And Sodium ChlorideInjection, SolutionIntravenousIcu Medical Inc.ACTIVE
0990-7925Dextrose And Sodium Chloride Dextrose Monohydrate And Sodium ChlorideInjection, SolutionIntravenousIcu Medical Inc.ACTIVE
0990-7926Dextrose And Sodium Chloride Dextrose Monohydrate And Sodium ChlorideInjection, SolutionIntravenousIcu Medical Inc.ACTIVE
0990-7938Dextrose Dextrose MonohydrateInjection, Solution, ConcentrateIntravenousIcu Medical Inc.ACTIVE
0990-7985Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousIcu Medical Inc.ACTIVE
0990-7985Sodium Chloride Icu Medical Inc.
0990-7990Sterile Water WaterInjection, SolutionIntravenousIcu Medical Inc.ACTIVE
17271-700Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousBecton Dickinson And CompanyACTIVE
17271-721Dextrose Dextrose MonohydrateInjection, SolutionIntravenousBecton Dickinson And CompanyACTIVE
17271-750Sterile Water WaterInjection, SolutionIntravenousBecton Dickinson And CompanyACTIVE
54868-4464Sodium Chloride Physicians Total Care, Inc.INACTIVATED
54868-5026Sodium Chloride Physicians Total Care, Inc.
63323-178Sterile Water WaterInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
63323-185Sterile Water WaterInjectionIntramuscular; Intravenous; SubcutaneousFresenius Kabi Usa, LlcACTIVE
63323-186Sodium Chloride Sodium ChlorideInjectionIntravenousFresenius Kabi Usa, LlcACTIVE
63323-186Sodium Chloride Sodium ChlorideInjectionIntramuscular; Intravenous; SubcutaneousFresenius Kabi Usa, LlcACTIVE
63323-249Bacteriostatic Water Fresenius Kabi Usa, Llc
63323-259Bacteriostatic Sodium Chloride Fresenius Kabi Usa, Llc
63323-867Dextrose And Sodium Chloride Dextrose Monohydrate And Sodium ChlorideInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
63323-869Dextrose And Sodium Chloride Dextrose Monohydrate And Sodium ChlorideInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
63323-873Dextrose And Sodium Chloride Dextrose Monohydrate And Sodium ChlorideInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
63323-874Dextrose And Sodium Chloride Dextrose Monohydrate, Sodium ChlorideInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
63323-924Bacteriostatic Sodium Chloride Sodium ChlorideInjectionIntramuscular; Intravenous; SubcutaneousFresenius Kabi Usa, LlcACTIVE
64253-020Sterile Water Sterile Water For InjectionInjection, SolutionIntramuscular; Intravenous; SubcutaneousMedefil, Inc.ACTIVE
65219-226Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
65219-228Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
65219-466Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
65219-468Sodium Chloride Sodium ChlorideInjection, SolutionIntravenousFresenius Kabi Usa, LlcACTIVE
76329-3302Dextrose Monohydrate Dextrose MonohydrateInjection, SolutionIntravenousInternational Medication Systems, LimitedACTIVE
76420-082Sterile Water WaterInjectionIntramuscular; Intravenous; SubcutaneousAsclemed Usa, Inc.ACTIVE
76420-083Sodium Chloride Sodium ChlorideInjection, SolutionIntramuscular; Intravenous; SubcutaneousAsclemed Usa, Inc.ACTIVE