A4714 – Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4714
- Long description
- Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon
- Short description
- Treated water per gallon
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
DSpecial coverage instructions apply- BETOS category
P9BDialysis services (Non-Medicare fee schedule)- Added
- January 1, 1986
- Last change
- January 1, 2015 – No change
Frequently asked questions
What is HCPCS code A4714?
A4714 is a HCPCS Level II code for treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon.
Does Medicare cover A4714?
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
- A4673 – Extension line with easy lock connectors, used with dialysis
- A4674 – Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz
- A4680 – Activated carbon filter for hemodialysis, each
- A4690 – Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each
- A4706 – Bicarbonate concentrate, solution, for hemodialysis, per gallon
- A4707 – Bicarbonate concentrate, powder, for hemodialysis, per packet
- A4708 – Acetate concentrate solution, for hemodialysis, per gallon
- A4709 – Acid concentrate, solution, for hemodialysis, per gallon
- A4719 – "y set" tubing for peritoneal dialysis
- A4720 – Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis
- A4721 – Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis
- A4722 – Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc but less than or equal to 2999 cc, for peritoneal dialysis
- A4723 – Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis
- A4724 – Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis
- A4725 – Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis
- A4726 – Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.