A4217 – Sterile water/saline, 500 ml

HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental

Active code Special coverage instructions apply

HCPCS codeA4217
Long description
Sterile water/saline, 500 ml
Short description
Sterile water/saline, 500 ml
Pricing indicator
37 Ostomy, tracheostomy and urological supplies
Medicare coverage
D Special coverage instructions apply
BETOS category
D1F Prosthetic/Orthotic devices
Added
January 1, 2004
Last change
January 1, 2004 – No change

Frequently asked questions

What is HCPCS code A4217?

A4217 is a HCPCS Level II code for sterile water/saline, 500 ml.

Does Medicare cover A4217?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby A codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.