A4755 – Blood tubing, arterial and venous combined, for hemodialysis, each

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

Active code Special coverage instructions apply

HCPCS codeA4755
Long description
Blood tubing, arterial and venous combined, for hemodialysis, each
Short description
Comb art/venous blood tubing
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
D Special coverage instructions apply
BETOS category
P9B Dialysis services (Non-Medicare fee schedule)
Added
January 1, 1986
Last change
January 1, 2015 – No change

Frequently asked questions

What is HCPCS code A4755?

A4755 is a HCPCS Level II code for blood tubing, arterial and venous combined, for hemodialysis, each.

Does Medicare cover A4755?

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.