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2025 HCPCS code A4913

Miscellaneous dialysis supplies, not otherwise specified.

Medical necessity must be supported by documentation justifying the use of the miscellaneous supplies. This should include the patient's diagnosis, the specific dialysis procedure performed, and why the billed supplies were essential for that procedure.

In simple words: This code covers miscellaneous supplies needed for dialysis that don't have their own specific code.

This code encompasses various supplies used in dialysis procedures that are not specifically identified by other HCPCS codes. It includes new or innovative supplies, those without designated codes, and miscellaneous items required for at-home dialysis.

Example 1: A patient undergoing at-home peritoneal dialysis requires additional tubing connectors not included in the standard kit. These connectors are billed under A4913., A new type of dialysis filter becomes available but does not yet have a specific HCPCS code. It is temporarily billed under A4913 until a specific code is assigned. , During a hemodialysis session, a patient requires an uncommon type of bandage. Due to its unique nature and lack of a specific code, the bandage is billed as a miscellaneous supply under A4913.

Documentation should clearly list all items included under this code and provide a justification for their use. The reason for using A4913, rather than a more specific code, should be documented.

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