A4216
A4216 – STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML · NDC Crosswalk & Billing Units
HCPCS Level II J-code · Medicare Part B drug billing
J-code
● 110 NDCs crosswalked
📋 A4216 summary
A4216 is a HCPCS Level II J-code used to bill STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.
Brand names associated with A4216: Sodium Chloride, Dextrose Monohydrate, Dextrose
⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.
🗂️ Key billing facts
HCPCS codeA4216
DescriptorSTERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML
Billing unitNot available in current dataset
Payment limit / unit Not available in current dataset
Mapped NDCs110
Data periodNot available in current dataset
Last updatedSource date not available
💊 About Sodium Chloride DRUG GUIDE
Sodium chloride is used in several different forms for different purposes.
Intravenous (IV) sodium chloride solutions — including Nacellate Solution 0.9% and 0.9% Sodium Chloride Injection — are given in hospital settings to restore water and electrolytes, and to serve as a carrier fluid for other IV medications.
Nacellate Solution 0.9% is also used as a priming solution for hemodialysis (kidney dialysis) procedures.
Sodium Chloride for Irrigation is used for general washing, rinsing, and irrigation of body tissues.Bacteriostatic Sodium Chloride, Corvatrol 0.9%, and Amphenol-40 injections are used specifically to dilute or dissolve other drugs before injection — they are not standalone treatments.
Clinical overview from our editorial drug guide for Sodium Chloride. For billing reference, see the sections above.
🧾 Billing & reimbursement HCPCS · CMS
Medicare payment limit / unit
—
Est. ASP / unit
—
Est. after 2% sequester
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HCPCS dosage
—
The CMS payment limit is the Medicare Part B drug allowance (ASP + 6%, statutory). After the 2% federal sequester the effective payment is ≈ ASP + 4.3%; estimated ASP = payment limit ÷ 1.06. Source: CMS Medicare Part B Payment Limit File (quarterly).
🧮 Dosing & billing-units calculator HCPCS UNITS
One billing unit of A4216 = 1 unit. Enter a regimen to convert dose → billing units and project a full course.
Billing units = dose ÷ HCPCS unit size. Most payers require whole units — round per the payer's policy. “Est. Medicare pay” uses the current payment limit. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (JZ when none is discarded) where allowed. Always verify payer-specific rounding before billing.
🔁 NDCs that bill under A4216 LEAST EXPENSIVE FIRST
110 NDCs map to A4216. Bill units = how many HCPCS units one package represents.
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|
| 00409-4887-20 | Sterile Water 1 mL/mL INJECTION | Hospira, | 25 VIAL, PLASTIC in 1 TRAY (0409-4887-20)... | 1 mL/mL | 0.1 | $0.066 | ● Active | PDAC |
| 00517-3020-25 | Sterile Water 1 mL/mL INJECTION, SOLUTION | American | 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-3020-... | 1 mL/mL | 0.1 | $0.066 | ● Active | PDAC |
| 63323-0185-20 | Sterile Water 1 mL/mL INJECTION | Fresenius | 25 VIAL in 1 TRAY (63323-185-20) / 20 mL... | 1 mL/mL | 0.1 | $0.066 | ● Active | PDAC |
| 00409-1966-05 | BACTERIOSTATIC SODIUM CHLORIDE 9 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, MULTI-DOSE in 1 TRAY (0409-1966-0... | 9 mg/mL | 0.1 | $0.067 | ● Active | PDAC |
| 00409-4888-12 | Sodium Chloride 9 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-4888-... | 9 mg/mL | 0.1 | $0.088 | ● Active | PDAC |
| 00409-4888-10 | Sodium Chloride 9 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-4888-... | 9 mg/mL | 0.1 | $0.088 | ● Active | PDAC |
| 63323-0186-10 | Sodium Chloride 9 mg/mL INJECTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-186-... | 9 mg/mL | 0.1 | $0.088 | ● Active | PDAC |
| 00409-3977-03 | Bacteriostatic Water 1 mL/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, MULTI-DOSE in 1 TRAY (0409-3977-0... | 1 mL/mL | 0.1 | $0.171 | ● Active | PDAC |
| 00409-0024-10 | Sterile Water 1 mL/mL INJECTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-0024-... | 1 mL/mL | 0.1 | $0.308 | ● Active | PDAC |
| 00409-4887-10 | Sterile Water 1 mL/mL INJECTION | Hospira, | 25 VIAL, PLASTIC in 1 TRAY (0409-4887-10)... | 1 mL/mL | 0.1 | $0.308 | ● Active | PDAC |
| 00517-3010-25 | Sterile Water 1 mL/mL INJECTION, SOLUTION | American | 25 VIAL, SINGLE-DOSE in 1 TRAY (0517-3010-... | 1 mL/mL | 0.1 | $0.308 | ● Active | PDAC |
| 63323-0185-10 | Sterile Water 1 mL/mL INJECTION | Fresenius | 25 VIAL in 1 TRAY (63323-185-10) / 10 mL... | 1 mL/mL | 0.1 | $0.308 | ● Active | PDAC |
| 00338-9660-40 | SODIUM CHLORIDE 450 mg/50mL INJECTION | Baxter | 40 BAG in 1 CARTON (0338-9660-40) / 50 mL... | 450 mg/50mL | 0.1 | — | ● Active | PDAC |
| 00338-9662-35 | SODIUM CHLORIDE 900 mg/100mL INJECTION | Baxter | 35 BAG in 1 CARTON (0338-9662-35) / 100 m... | 900 mg/100mL | 0.1 | — | ● Active | PDAC |
| 00338-9657-75 | SODIUM CHLORIDE 9 g/1000mL INJECTION, SOLUTION | Baxter | 50 mL in 1 BAG (0338-9657-75) | 9 g/1000mL | 0.1 | — | ● Active | PDAC |
| 00338-9661-60 | SODIUM CHLORIDE 9 g/1000mL INJECTION, SOLUTION | Baxter | 100 mL in 1 BAG (0338-9661-60) | 9 g/1000mL | 0.1 | — | ● Active | PDAC |
| 65219-0466-60 | Sodium chloride 9 mg/mL INJECTION, SOLUTION | Fresenius | 60 BAG in 1 CASE (65219-466-60) / 50 mL i... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 65219-0468-50 | Sodium chloride 9 mg/mL INJECTION, SOLUTION | Fresenius | 50 BAG in 1 CASE (65219-468-50) / 100 mL... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 00264-5804-00 | Sodium Chloride .45 g/100mL INJECTION, SOLUTION | B. | 12 CONTAINER in 1 CASE (0264-5804-00) / 1... | .45 g/100mL | 0.1 | — | ● Active | PDAC |
| 65219-0226-50 | Sodium chloride 225 mg/50mL INJECTION, SOLUTION | Fresenius | 60 BAG in 1 CASE (65219-226-50) / 50 mL i... | 225 mg/50mL | 0.1 | — | ● Active | PDAC |
| 65219-0228-10 | Sodium chloride 450 mg/100mL INJECTION, SOLUTION | Fresenius | 50 BAG in 1 CASE (65219-228-10) / 100 mL... | 450 mg/100mL | 0.1 | — | ● Active | PDAC |
| 76329-3302-01 | Dextrose Monohydrate 25 g/50mL INJECTION, SOLUTION | International | 1 SYRINGE in 1 CARTON (76329-3302-1) / 50... | 25 g/50mL | 0.1 | — | ● Active | PDAC |
| 17271-0721-05 | Dextrose 100 mg/mL INJECTION, SOLUTION | Becton | 30 BAG in 1 CASE (17271-721-05) / 250 mL... | 100 mg/mL | 0.1 | — | ● Active | PDAC |
| 17271-0721-06 | Dextrose 100 mg/mL INJECTION, SOLUTION | Becton | 20 BAG in 1 CASE (17271-721-06) / 500 mL... | 100 mg/mL | 0.1 | — | ● Active | PDAC |
| 17271-0721-07 | Dextrose 100 mg/mL INJECTION, SOLUTION | Becton | 10 BAG in 1 CASE (17271-721-07) / 1000 mL... | 100 mg/mL | 0.1 | — | ● Active | PDAC |
| 17271-0750-07 | Sterile Water 1000 mL/1000mL INJECTION, SOLUTION | Becton | 10 BAG in 1 CASE (17271-750-07) / 1000 mL... | 1000 mL/1000mL | 0.1 | — | ● Active | PDAC |
| 70092-0475-50 | DEXTROSE (PF,SULFITE-FREE) 50% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00990-7925-09 | Dextrose and Sodium Chloride 5 g/100mL; .3 g/100mL INJECTION, SOLUTION | ICU | 12 POUCH in 1 CASE (0990-7925-09) / 1 BAG... | 5 g/100mL; .3 g/100mL | 0.1 | — | ● Active | PDAC |
| 00990-7938-19 | Dextrose 10 g/100mL INJECTION, SOLUTION, CONCENTRATE | ICU | 12 POUCH in 1 CASE (0990-7938-19) / 1 BAG... | 10 g/100mL | 0.1 | — | ● Active | PDAC |
| 63323-0867-10 | Dextrose and Sodium Chloride 5 g/100mL; .3 g/100mL INJECTION, SOLUTION | Fresenius | 10 BAG in 1 CASE (63323-867-10) / 1000 mL... | 5 g/100mL; .3 g/100mL | 0.1 | — | ● Active | PDAC |
| 63323-0867-74 | Dextrose and Sodium Chloride 5 g/100mL; .3 g/100mL INJECTION, SOLUTION | Fresenius | 20 BAG in 1 CASE (63323-867-74) / 500 mL... | 5 g/100mL; .3 g/100mL | 0.1 | — | ● Active | PDAC |
| 63323-0867-75 | Dextrose and Sodium Chloride 5 g/100mL; .3 g/100mL INJECTION, SOLUTION | Fresenius | 30 BAG in 1 CASE (63323-867-75) / 250 mL... | 5 g/100mL; .3 g/100mL | 0.1 | — | ● Active | PDAC |
| 63323-0869-10 | Dextrose and Sodium Chloride 5 g/100mL; .45 g/100mL INJECTION, SOLUTION | Fresenius | 10 BAG in 1 CASE (63323-869-10) / 1000 mL... | 5 g/100mL; .45 g/100mL | 0.1 | — | ● Active | PDAC |
| 63323-0869-74 | Dextrose and Sodium Chloride 5 g/100mL; .45 g/100mL INJECTION, SOLUTION | Fresenius | 20 BAG in 1 CASE (63323-869-74) / 500 mL... | 5 g/100mL; .45 g/100mL | 0.1 | — | ● Active | PDAC |
| 63323-0869-75 | Dextrose and Sodium Chloride 5 g/100mL; .45 g/100mL INJECTION, SOLUTION | Fresenius | 30 BAG in 1 CASE (63323-869-75) / 250 mL... | 5 g/100mL; .45 g/100mL | 0.1 | — | ● Active | PDAC |
| 63323-0873-10 | Dextrose and Sodium Chloride 5 g/100mL; .225 g/100mL INJECTION, SOLUTION | Fresenius | 10 BAG in 1 CASE (63323-873-10) / 1000 mL... | 5 g/100mL; .225 g/100mL | 0.1 | — | ● Active | PDAC |
| 63323-0873-74 | Dextrose and Sodium Chloride 5 g/100mL; .225 g/100mL INJECTION, SOLUTION | Fresenius | 20 BAG in 1 CASE (63323-873-74) / 500 mL... | 5 g/100mL; .225 g/100mL | 0.1 | — | ● Active | PDAC |
| 63323-0873-75 | Dextrose and Sodium Chloride 5 g/100mL; .225 g/100mL INJECTION, SOLUTION | Fresenius | 30 BAG in 1 CASE (63323-873-75) / 250 mL... | 5 g/100mL; .225 g/100mL | 0.1 | — | ● Active | PDAC |
| 63323-0874-10 | DEXTROSE AND SODIUM CHLORIDE 2.5 g/100mL; .45 g/100mL INJECTION, SOLUTION | Fresenius | 10 BAG in 1 CASE (63323-874-10) / 1000 mL... | 2.5 g/100mL; .45 g/100mL | 0.1 | — | ● Active | PDAC |
| 00990-7985-03 | Sodium Chloride 450 mg/100mL INJECTION, SOLUTION | ICU | 24 POUCH in 1 CASE (0990-7985-03) / 1 BAG... | 450 mg/100mL | 0.1 | — | ● Active | PDAC |
| 00338-9151-30 | SODIUM CHLORIDE 450 mg/50mL INJECTION | Baxter | 50 mL in 1 BAG (0338-9151-30) | 450 mg/50mL | 0.1 | — | ● Active | PDAC |
| 00990-7926-03 | Dextrose and Sodium Chloride 5 g/100mL; .45 g/100mL INJECTION, SOLUTION | ICU | 24 POUCH in 1 CASE (0990-7926-03) / 1 BAG... | 5 g/100mL; .45 g/100mL | 0.1 | — | ● Active | PDAC |
| 71127-1200-01 | STERILE WATER (SEVENFACT DILUENT) | Unknown | — | — | 0.1 | — | — | PDAC |
| 71127-5200-01 | STERILE WATER (SEVENFACT DILUENT) | Unknown | — | — | 0.1 | — | — | PDAC |
| 64253-0020-30 | Sterile Water 100 mL/100mL INJECTION, SOLUTION | Medefil, | 60 SYRINGE, PLASTIC in 1 BOX (64253-020-30... | 100 mL/100mL | 0.1 | — | ● Active | PDAC |
| 00990-7924-09 | Dextrose and Sodium Chloride 5 g/100mL; .225 g/100mL INJECTION, SOLUTION | ICU | 12 POUCH in 1 CASE (0990-7924-09) / 1 BAG... | 5 g/100mL; .225 g/100mL | 0.1 | — | ● Active | PDAC |
| 00990-7730-37 | Sodium Chloride 450 mg/100mL INJECTION, SOLUTION | ICU | 20 POUCH in 1 CASE (0990-7730-37) / 4 BAG... | 450 mg/100mL | 0.1 | — | ● Active | PDAC |
| 00990-7924-03 | Dextrose and Sodium Chloride 5 g/100mL; .225 g/100mL INJECTION, SOLUTION | ICU | 24 POUCH in 1 CASE (0990-7924-03) / 1 BAG... | 5 g/100mL; .225 g/100mL | 0.1 | — | ● Active | PDAC |
| 00990-7990-09 | Sterile Water 1000 mL/1000mL INJECTION, SOLUTION | ICU | 12 POUCH in 1 CASE (0990-7990-09) / 1 BAG... | 1000 mL/1000mL | 0.1 | — | ● Active | PDAC |
| 76420-0082-10 | Sterile Water 1 mL/mL INJECTION | Asclemed | 10 mL in 1 VIAL, PLASTIC (76420-082-10) | 1 mL/mL | 0.1 | — | ● Active | PDAC |
| 76420-0083-10 | Sodium Chloride 9 mg/mL INJECTION, SOLUTION | Asclemed | 10 mL in 1 VIAL, SINGLE-DOSE (76420-083-10... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 00990-7118-07 | Sterile Water 1 mL/mL INJECTION, SOLUTION | ICU | 6 BAG in 1 CASE (0990-7118-07) / 2000 mL... | 1 mL/mL | 0.1 | — | ● Active | PDAC |
| 00641-6147-10 | Sterile Water 1 mL/mL INJECTION, SOLUTION | Hikma | 10 VIAL in 1 CARTON (0641-6147-10) / 10 m... | 1 mL/mL | 0.1 | — | ● Active | PDAC |
| 17271-0700-02 | sodium chloride 450 mg/100mL INJECTION, SOLUTION | Becton | 60 BAG in 1 CASE (17271-700-02) / 50 mL i... | 450 mg/100mL | 0.1 | — | ● Active | PDAC |
| 17271-0700-03 | sodium chloride 450 mg/100mL INJECTION, SOLUTION | Becton | 50 BAG in 1 CASE (17271-700-03) / 100 mL... | 450 mg/100mL | 0.1 | — | ● Active | PDAC |
| 17271-0700-05 | sodium chloride 450 mg/100mL INJECTION, SOLUTION | Becton | 30 BAG in 1 CASE (17271-700-05) / 250 mL... | 450 mg/100mL | 0.1 | — | ● Active | PDAC |
| 17271-0700-06 | sodium chloride 450 mg/100mL INJECTION, SOLUTION | Becton | 20 BAG in 1 CASE (17271-700-06) / 500 mL... | 450 mg/100mL | 0.1 | — | ● Active | PDAC |
| 63323-0178-76 | Sterile Water 1000 mL/1000mL INJECTION, SOLUTION | Fresenius | 10 BAG in 1 CASE (63323-178-76) / 1000 mL... | 1000 mL/1000mL | 0.1 | — | ● Active | PDAC |
| 00641-6147-25 | Sterile Water 1 mL/mL INJECTION, SOLUTION | Hikma | 25 VIAL in 1 CARTON (0641-6147-25) / 10 m... | 1 mL/mL | 0.1 | — | ● Active | PDAC |
| 00378-6986-01 | SODIUM CHLORIDE (100X5ML,PF) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 08290-0930-10 | NORMAL SALINE FLUSH (SRN, 10ML,PF) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 63323-0186-02 | Sodium Chloride 9 mg/mL INJECTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-186-... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 63807-0100-11 | SYREX (PF,LATEX-FREE) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 63807-0100-33 | SYREX (PF,LATEX-FREE) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 63807-0100-51 | SYREX (PF,LATEX-FREE) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 64253-0111-23 | NORMAL SALINE FLUSH (SRN,6 ML W/LUER LOCK,PF) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 64253-0111-30 | NORMAL SALINE FLUSH (SRN W/LUER LOCK,PF) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 64253-0111-35 | NORMAL SALINE FLUSH (SRN,12 ML W/LUER LOK,PF) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00409-4044-02 | WATER FOR INJECTION (25X10ML,PF,LATEX-FREE) | Unknown | — | — | 0.1 | — | — | PDAC |
| 00487-9301-03 | SODIUM CHLORIDE (VIAL) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00487-9301-33 | SODIUM CHLORIDE 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 50962-0650-01 | SODIUM CHLORIDE (INHALATION) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00409-1966-12 | BACTERIOSTATIC SODIUM CHLORIDE 9 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, MULTI-DOSE in 1 TRAY (0409-1966-1... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 00409-4887-50 | Sterile Water 1 mL/mL INJECTION | Hospira, | 25 VIAL, PLASTIC in 1 TRAY (0409-4887-50)... | 1 mL/mL | 0.1 | — | ● Active | PDAC |
| 00409-4887-99 | Sterile Water 1 mL/mL INJECTION | Hospira, | 25 VIAL, GLASS in 1 CASE (0409-4887-99) /... | 1 mL/mL | 0.1 | — | Obsolete | PDAC |
| 00409-7101-66 | Sodium Chloride 900 mg/100mL INJECTION, SOLUTION | Hospira, | 10 POUCH in 1 CASE (0409-7101-66) / 5 BAG... | 900 mg/100mL | 0.1 | — | Obsolete | PDAC |
| 00409-1966-07 | BACTERIOSTATIC SODIUM CHLORIDE 9 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, MULTI-DOSE in 1 TRAY (0409-1966-0... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 00409-4029-03 | WATER FOR INJECTION (AMP,PF,LATEX-FREE) | Unknown | — | — | 0.1 | — | — | PDAC |
| 00409-4888-20 | Sodium Chloride 9 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-4888-... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 00409-4888-50 | Sodium Chloride 9 mg/mL INJECTION, SOLUTION | Hospira, | 25 VIAL, SINGLE-DOSE in 1 TRAY (0409-4888-... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 00264-1800-31 | Sodium Chloride 9 mg/mL INJECTION, SOLUTION | B. | 84 CONTAINER in 1 CASE (0264-1800-31) / 5... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 00264-1800-36 | Sodium Chloride 9 mg/mL INJECTION, SOLUTION | B. | 116 CONTAINER in 1 CASE (0264-1800-36) /... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 00338-0049-10 | Sodium Chloride 9 g/1000mL INJECTION, SOLUTION | Baxter | 4 BAG in 1 PACKAGE (0338-0049-10) / 25 mL... | 9 g/1000mL | 0.1 | — | ● Active | PDAC |
| 00338-0049-11 | Sodium Chloride 9 g/1000mL INJECTION, SOLUTION | Baxter | 4 BAG in 1 PACKAGE (0338-0049-11) / 50 mL... | 9 g/1000mL | 0.1 | — | ● Active | PDAC |
| 00338-0049-31 | Sodium Chloride 9 g/1000mL INJECTION, SOLUTION | Baxter | 16 BAG in 1 PACKAGE (0338-0049-31) / 50 m... | 9 g/1000mL | 0.1 | — | ● Active | PDAC |
| 00338-0049-41 | Sodium Chloride 9 g/1000mL INJECTION, SOLUTION | Baxter | 1 BAG in 1 PACKAGE (0338-0049-41) / 50 mL... | 9 g/1000mL | 0.1 | — | ● Active | PDAC |
| 00338-0553-11 | Sodium Chloride 900 mg/100mL INJECTION | Baxter | 50 mL in 1 BAG (0338-0553-11) | 900 mg/100mL | 0.1 | — | ● Active | PDAC |
| 54868-3975-00 | WATER FOR INJECTION (S.D.V.) | Unknown | — | — | 0.1 | — | — | PDAC |
| 63323-0185-05 | Sterile Water 1 mL/mL INJECTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-185-... | 1 mL/mL | 0.1 | — | ● Active | PDAC |
| 63323-0185-50 | Sterile Water 1 mL/mL INJECTION | Fresenius | 25 VIAL in 1 TRAY (63323-185-50) / 50 mL... | 1 mL/mL | 0.1 | — | ● Active | PDAC |
| 63323-0186-20 | Sodium Chloride 9 mg/mL INJECTION | Fresenius | 25 VIAL, SINGLE-DOSE in 1 TRAY (63323-186-... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 63323-0924-10 | Bacteriostatic Sodium Chloride 9 mg/mL INJECTION | Fresenius | 25 VIAL, MULTI-DOSE in 1 TRAY (63323-924-1... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 63323-0924-30 | Bacteriostatic Sodium Chloride 9 mg/mL INJECTION | Fresenius | 25 VIAL, MULTI-DOSE in 1 TRAY (63323-924-3... | 9 mg/mL | 0.1 | — | ● Active | PDAC |
| 00019-1188-75 | SODIUM CHLORIDE (PF) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00409-1918-32 | SODIUM CHLORIDE (LUER LOCK,50X2ML,PF) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00409-1918-33 | SODIUM CHLORIDE (LUER LOCK,PF,LATEX-FREE) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00409-1918-35 | SODIUM CHLORIDE (LUER LOCK,PF,LATEX-FREE) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00409-2102-05 | SODIUM CHLORIDE (25X5ML,PF) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 08290-0910-02 | NORMAL SALINE FLUSH (SRN, 2ML,PF) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 48879-0002-01 | SALINE SOLUTION (AL7453) 0.45% | Unknown | — | — | 0.1 | — | — | PDAC |
| 48879-0003-01 | SALINE SOLUTION (AL7093) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 48879-0003-02 | SALINE SOLUTION (AL7095) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00409-7984-36 | SODIUM CHLORIDE (LFCARE,QUAD,LF,80X50ML) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00409-7984-13 | SODIUM CHLORIDE (48X50ML,PF,LATEX-FREE) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00409-7984-20 | SODIUM CHLORIDE (LIFECARE,QUAD PACK,LF) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00409-1966-14 | SODIUM CHLORIDE BACTERIOSTATIC (FLIPTOP,LS-PLASTIC) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 00517-3005-25 | WATER FOR INJECTION (S.D.V.) | Unknown | — | — | 0.1 | — | — | PDAC |
| 08290-0911-02 | NORMAL SALINE FLUSH (SRN, W/CANNULA,PF) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
| 63323-0185-00 | WATER FOR INJECTION (S.D.V.,TEAR TOP) | Unknown | — | — | 0.1 | — | — | PDAC |
| 63323-0259-30 | SODIUM CHLORIDE (M.D.V.) 0.9% | Unknown | — | — | 0.1 | — | — | PDAC |
NDC→HCPCS mappings come from the CMS ASP NDC-HCPCS crosswalk; additional DME MAC / DMEPOS mappings come from PDAC and are labeled separately. NADAC from CMS (weekly). “Status” reflects the product's marketing / obsolete flag in the NDC directory. Presence or absence here does not determine Medicare coverage. Linked NDCs open the full product page.
📈 Medicare Part B claims detail CMS PSPS · 2024
Calendar-year 2024 Medicare Part B fee-for-service activity for this HCPCS code, summed across all carriers, localities and specialties (CMS Physician/Supplier Procedure Summary). A “service” is one billed line/unit — not one claim — so counts run higher than claim counts.
Allowed charges
$427.2K
Medicare paid
$327.7K
Submitted services
2,083,497
Denial rate
63.5%
Allowed / service
$0.56
Submitted charges
$2.68M
Source: CMS Physician/Supplier Procedure Summary (PSPS), CY2024 — Medicare Part B carrier + DME fee-for-service claims (excludes Medicare Advantage). Figures are for the whole HCPCS code, which may cover uses beyond this drug. ⚠ CMS hides any figure covering fewer than 11 patients (a privacy rule), so totals — especially denials and low-volume codes — run a little low.
📊 What bills under A4216
J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.
NDC products by ingredient
NDC products by labeler
🗃️ Data sources & freshness
Every figure on this page is computed from public datasets. Here's what each section draws on and how current it is.
HCPCS code & descriptor
CMS HCPCS Level II code file
Not available in current dataset
Payment limit & billing unit
CMS Medicare Part B ASP Pricing File (quarterly)
Not available
NDC ↔ HCPCS crosswalk
CMS ASP NDC-HCPCS crosswalk + DMEPDAC (PDAC)
110 NDCs mapped
NADAC acquisition cost
CMS National Average Drug Acquisition Cost (weekly)
Available for mapped NDCs
Utilization & spend
CMS Part B Spending by Drug · PSPS · Physician & Other Practitioners
No reportable utilization
Figures are estimates for reference and may lag the source files. Always verify against the current CMS files and your payer's policy before submitting claims.
⚠️ Practical billing caveats
- A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
- Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
- Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
- Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
- The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
- Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.
❓ A4216 billing FAQ
What is HCPCS code A4216?
A4216 is a HCPCS Level II J-code used to bill STERILE WATER, SALINE AND/OR DEXTROSE, DILUENT/FLUSH, 10 ML under Medicare Part B and most medical (not pharmacy) benefits.
Which NDCs bill under A4216?
110 NDCs currently map to A4216 in the CMS ASP NDC-HCPCS crosswalk. See the NDC crosswalk table above for each product, package, billing units and estimated reimbursement.
Does a crosswalk mean A4216 is covered?
No. An NDC-to-HCPCS crosswalk and a published payment limit do not guarantee coverage or payment. Coverage depends on the payer, the diagnosis and the site of care — always verify the current policy before billing.
For professional billing reference only — verify against the current CMS files before submitting claims.