HCPCS code A4217 — Sterile water/saline, 500 ml. Status: Active. Effective Jan 1, 2004. Source: CMS HCPCS Level II.

A4217

Active

Sterile water/saline, 500 ml

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2004
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A4217 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 4
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits