HCPCS A4217

Sterile water/saline, 500 ml

HCPCS Information
HCPCS Crossover to NDC Codes

HCPCS Information

HCPCS Code: A4217: 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 A4217 identifies the type of service or supply used while any of the 37 NDC codes below could be used to specify the exact drug used.
Short Description: Sterile water/saline, 500 ml
Long Description: Sterile water/saline, 500 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
0019-1188	Sodium Chloride	Sodium Chloride	Injection	Intravascular	Liebel-flarsheim Company Llc	ACTIVE
0264-2101	Sterile Water	Water	Irrigant	Irrigation	B. Braun Medical Inc.	ACTIVE
0264-2201	Sodium Chloride	Sodium Chloride	Irrigant	Irrigation	B. Braun Medical Inc.	ACTIVE
0264-7850	Sterile Water	Water	Injection	Intravenous	B. Braun Medical Inc.	ACTIVE
0338-0003	Sterile Water	Water	Irrigant	Irrigation	Baxter Healthcare Corporation	ACTIVE
0338-0004	Sterile Water	Water	Irrigant	Irrigation	Baxter Healthcare Corporation	ACTIVE
0338-0013	Sterile Water	Water	Injection, Solution	Intravenous	Baxter Healthcare Company	ACTIVE
0338-0013	Sterile Water	Water	Injection, Solution	Intravenous	Baxter Healthcare Company	ACTIVE
0338-0047	Sodium Chloride	Sodium Chloride	Irrigant	Irrigation	Baxter Healthcare Company	ACTIVE
0338-0047	Sodium Chloride	Sodium Chloride	Irrigant	Irrigation	Baxter Healthcare Corporation	ACTIVE
0338-0048	Sodium Chloride	Sodium Chloride	Irrigant	Irrigation	Baxter Healthcare Corporation	ACTIVE
0338-0050	Sodium Chloride	Sodium Chloride	Solution	Extracorporeal	Baxter Healthcare Corporation	ACTIVE
0338-9782	Sterile Water	Water	Injection, Solution	Intravenous	Baxter Healthcare Company	ACTIVE
0409-1590	Sterile Water				Hospira, Inc.
0409-6138	Sodium Chloride				Hospira, Inc.
0409-6139	Sterile Water				Hospira, Inc.
0409-7118	Sterile Water				Hospira, Inc.
0409-7138	Sodium Chloride				Hospira, Inc.
0409-7139	Sterile Water				Hospira, Inc.
0409-7972	Sodium Chloride				Hospira, Inc.
0409-7972	Sodium Chloride				Hospira, Inc.
0409-7973	Sterile Water				Hospira, Inc.
0409-7975	Sodium Chloride				Hospira, Inc.
0409-7990	Sterile Water				Hospira, Inc.
0409-7990	Sterile Water				Hospira, Inc.
0990-6138	Sodium Chloride	Sodium Chloride	Irrigant	Irrigation	Icu Medical Inc.	ACTIVE
0990-6139	Sterile Water	Water	Irrigant	Irrigation	Icu Medical Inc.	ACTIVE
0990-7138	Sodium Chloride	Sodium Chloride	Irrigant	Irrigation	Icu Medical Inc.	ACTIVE
0990-7139	Sterile Water	Water	Irrigant	Irrigation	Icu Medical Inc.	ACTIVE
0990-7972	Sodium Chloride	Sodium Chloride	Irrigant	Irrigation	Icu Medical Inc.	ACTIVE
0990-7972	Sodium Chloride	Sodium Chloride	Irrigant	Irrigation	Icu Medical Inc.	ACTIVE
0990-7973	Sterile Water	Water	Irrigant	Irrigation	Icu Medical Inc.	ACTIVE
57896-001	Milk Of Magnesia Cherry				Geri-care Pharmaceuticals, Corp
57896-002	Milk Of Magnesia Original				Geri-care Pharmaceuticals, Corp
65219-187	Sterile Water	Water	Injection	Intramuscular; Intravenous; Subcutaneous	Fresenius Kabi Usa, Llc	ACTIVE
65219-499	Sterile Water	Water	Injection	Irrigation	Fresenius Kabi Usa, Llc	ACTIVE
65219-506	Sodium Chloride	Sodium Chloride	Injection, Solution	Irrigation	Fresenius Kabi Usa, Llc	ACTIVE

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HCPCS Information

HCPCS Crossover to NDC Codes