2025 HCPCS code A4911
(Active) Effective Date: N/A Revision Date: N/A Medical Supplies - Dialysis Equipment and Supplies Medical And Surgical Supplies Feed
Dialysis drain bag or bottle, each.
Modifiers may be applicable depending on the circumstances of service. Refer to payer-specific guidelines for appropriate modifier use.
Medical necessity for dialysis is established based on the patient's diagnosis of end-stage renal disease or other conditions requiring renal replacement therapy.Supporting documentation such as lab results indicating kidney failure and physician's orders are required.
The clinical responsibility for this code rests with the healthcare professional administering the dialysis treatment. This includes proper selection, application and disposal of the drain bags/bottles ensuring patient safety and hygiene.
In simple words: This code is for each bag or bottle used to collect the used dialysis fluid during a kidney dialysis treatment.The dialysis machine cleans the patient's blood.
This HCPCS code, A4911, represents a single dialysis drain bag or bottle used during a patient's hemodialysis treatment.The code is reported for each individual bag or bottle used to collect the dialysis solution and waste products.Dialysis is a process of purifying blood using a machine to substitute for the kidneys' normal function.
Example 1: A patient undergoes hemodialysis, requiring three drain bags for the entire session.Code A4911 would be reported three times., A patient with end-stage renal disease receives hemodialysis twice a week. Each treatment uses two drain bags, resulting in four reported instances of A4911 per week., During a single dialysis session, a malfunctioning drain bag requires replacement. Both the original and replacement bag would be separately reported using A4911.
Documentation should include the patient's diagnosis, the date of the dialysis procedure, the number of drain bags/bottles used, and any relevant notes regarding the procedure.Clinical notes should support the medical necessity of dialysis.
** This code is specific to drain bags/bottles used for hemodialysis.It does not cover other types of dialysis or related supplies.
- Payment Status: Active
- Specialties:Nephrology, Dialysis Centers
- Place of Service:Dialysis Center, Hospital (Inpatient or Outpatient), Physician's Office