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A4217

A4217 – STERILE WATER/SALINE, 500 ML · NDC Crosswalk & Billing Units

HCPCS Level II J-code · Medicare Part B drug billing

J-code ● 85 NDCs crosswalked

This page is curated, coded, and maintained by Dr. Brian Staiger, PharmD

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

📋 A4217 summary

A4217 is a HCPCS Level II J-code used to bill STERILE WATER/SALINE, 500 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 A4217: Sodium Chloride, Sterile Water

Code A4217 NDC-Crosswalk 85 RxCUI Atlas Trace the drug concept →

⚠ 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 codeA4217

DescriptorSTERILE WATER/SALINE, 500 ML

Billing unitNot available in current dataset

Payment limit / unit Not available in current dataset

Mapped NDCs85

Data periodNot available in current dataset

Last updatedSource date not available

💊 About Sodium Chloride DRUG GUIDE

Sodium chloride is used in several different forms.

The use depends on the product.Intravenous (IV) solutions (such as Nacellate Solution 0.9% and 0.9% Sodium Chloride) provide water, sodium and chloride for hydration and fluid replacement.

Some are also used as a priming solution in hemodialysis.Bacteriostatic and other injection products (such as Corvatrol 0.9% and Amphenol-40) are only for diluting or dissolving other drugs for injection.Sodium Chloride for Irrigation is for general irrigation, washing and rinsing.Nasal saline products (such as Nasocalm) are used for nasal congestion and nasal cleansing.Normal Salt tablets are used to make a salt solution that helps prevent heat cramps from heavy sweating.

Read the full Sodium Chloride drug guide →

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 A4217 = 1 unit. Enter a regimen to convert dose → billing units and project a full course.

Dose per administration (unit) Frequency — every days Number of doses NDC / package billed (optional)

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 A4217 CROSSWALKED NDCs

85 NDCs map to A4217. Bill units = how many HCPCS units one package represents.

NDC (11-digit)	Drug	Labeler	Package	Strength	Bill units	NADAC / unit	Status	Source
65219-0506-30	Sodium chloride .9 g/100mL INJECTION, SOLUTION	Fresenius	4 BAG in 1 CASE (65219-506-30) / 3000 mL...	.9 g/100mL	0.002	—	● Active	PDAC
65219-0499-30	Sterile Water 1 mL/mL INJECTION	Fresenius	4 BAG in 1 CASE (65219-499-30) / 3000 mL...	1 mL/mL	0.002	—	● Active	PDAC
00338-0110-01	SODIUM CHLORIDE 0.9%	Unknown	—	—	0.002	—	—	PDAC
00338-9782-12	WATER FOR INJECTION	Unknown	—	—	0.002	—	—	PDAC
65219-0187-10	Sterile Water 1 mL/mL INJECTION	Fresenius	25 VIAL, SINGLE-DOSE in 1 TRAY (65219-187-...	1 mL/mL	0.002	—	● Active	PDAC
00990-7972-07	Sodium Chloride 900 mg/100mL IRRIGANT	ICU	6 BAG in 1 CASE (0990-7972-07) / 2000 mL...	900 mg/100mL	0.002	—	● Active	PDAC
00990-7972-05	Sodium Chloride 900 mg/100mL IRRIGANT	ICU	12 BAG in 1 CASE (0990-7972-05) / 1000 mL...	900 mg/100mL	0.002	—	● Active	PDAC
00990-6138-22	SODIUM CHLORIDE (24X250ML;USP) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00990-7139-09	STERILE WATER (12X1000ML;USP,PF)	Unknown	—	—	0.002	—	—	PDAC
00990-7138-36	SODIUM CHLORIDE (9X1500ML;USP) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00990-7139-36	STERILE WATER (PF,LATEX-FREE)	Unknown	—	—	0.002	—	—	PDAC
00990-7138-09	SODIUM CHLORIDE (12X1000ML;USP) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00990-6139-03	STERILE WATER (PF,LATEX-FREE)	Unknown	—	—	0.002	—	—	PDAC
00990-7973-07	Sterile Water 1 mL/mL IRRIGANT	ICU	6 POUCH in 1 CASE (0990-7973-07) / 1 BAG...	1 mL/mL	0.002	—	● Active	PDAC
00990-7973-05	Sterile Water 1 mL/mL IRRIGANT	ICU	12 POUCH in 1 CASE (0990-7973-05) / 1 BAG...	1 mL/mL	0.002	—	● Active	PDAC
00990-6138-03	SODIUM CHLORIDE (24X500ML;USP) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00990-6139-22	STERILE WATER (AQUALITE,PF,LATEX-FREE)	Unknown	—	—	0.002	—	—	PDAC
00990-7973-08	Sterile Water 1 mL/mL IRRIGANT	ICU	4 POUCH in 1 CASE (0990-7973-08) / 1 BAG...	1 mL/mL	0.002	—	● Active	PDAC
00990-7972-08	Sodium Chloride 900 mg/100mL IRRIGANT	ICU	4 POUCH in 1 CASE (0990-7972-08) / 1 BAG...	900 mg/100mL	0.002	—	● Active	PDAC
00019-1188-81	SODIUM CHLORIDE .9 mg/mL INJECTION	Liebel-Flarsheim	20 BOX in 1 CARTON (0019-1188-81) / 1 SYR...	.9 mg/mL	0.002	—	● Active	PDAC
00019-1188-27	SODIUM CHLORIDE .9 mg/mL INJECTION	Liebel-Flarsheim	20 BOX in 1 CARTON (0019-1188-27) / 1 SYR...	.9 mg/mL	0.002	—	● Active	PDAC
08080-1022-00	CURITY STERILE SALINE (100MLX48) 0.9%	Unknown	—	—	0.002	—	—	PDAC
08080-1020-00	CURITY STERILE SALINE (100MLX48) 0.9%	Unknown	—	—	0.002	—	—	PDAC
08080-1000-00	CURITY STERILE WATER	Unknown	—	—	0.002	—	—	PDAC
00338-0013-04	Sterile Water 100 mL/100mL INJECTION, SOLUTION	Baxter	1000 mL in 1 BAG (0338-0013-04)	100 mL/100mL	0.002	—	● Active	PDAC
00338-0004-03	Sterile Water 100 mL/100mL IRRIGANT	Baxter	18 BOTTLE, PLASTIC in 1 CARTON (0338-0004-...	100 mL/100mL	0.002	—	● Active	PDAC
00338-0004-02	Sterile Water 100 mL/100mL IRRIGANT	Baxter	24 BOTTLE, PLASTIC in 1 CARTON (0338-0004-...	100 mL/100mL	0.002	—	● Active	PDAC
00338-0003-47	Sterile Water 100 mL/100mL IRRIGANT	Baxter	4 BAG in 1 CARTON (0338-0003-47) / 3000 m...	100 mL/100mL	0.002	—	● Active	PDAC
00338-0003-46	Sterile Water 100 mL/100mL IRRIGANT	Baxter	6 BAG in 1 CARTON (0338-0003-46) / 2000 m...	100 mL/100mL	0.002	—	● Active	PDAC
00338-0003-44	Sterile Water 100 mL/100mL IRRIGANT	Baxter	14 BAG in 1 CARTON (0338-0003-44) / 1000...	100 mL/100mL	0.002	—	● Active	PDAC
00264-7850-20	Sterile Water 1 mL/mL INJECTION	B.	24 CONTAINER in 1 CASE (0264-7850-20) / 2...	1 mL/mL	0.002	—	● Active	PDAC
00264-7850-10	Sterile Water 1 mL/mL INJECTION	B.	24 CONTAINER in 1 CASE (0264-7850-10) / 5...	1 mL/mL	0.002	—	● Active	PDAC
00264-7850-00	Sterile Water 1 mL/mL INJECTION	B.	12 CONTAINER in 1 CASE (0264-7850-00) / 1...	1 mL/mL	0.002	—	● Active	PDAC
00264-2201-10	Sodium Chloride .9 g/100mL IRRIGANT	B.	16 CONTAINER in 1 CASE (0264-2201-10) / 5...	.9 g/100mL	0.002	—	● Active	PDAC
00264-2201-00	Sodium Chloride .9 g/100mL IRRIGANT	B.	16 CONTAINER in 1 CASE (0264-2201-00) / 1...	.9 g/100mL	0.002	—	● Active	PDAC
54868-3905-00	WATER FOR INJECTION	Unknown	—	—	0.002	—	—	PDAC
54868-4296-00	WATER FOR IRRIGATION	Unknown	—	—	0.002	—	—	PDAC
54868-4311-00	WATER FOR INJECTION	Unknown	—	—	0.002	—	—	PDAC
00264-2101-10	Sterile Water 1 mL/mL IRRIGANT	B.	16 CONTAINER in 1 CASE (0264-2101-10) / 5...	1 mL/mL	0.002	—	● Active	PDAC
00264-2101-00	Sterile Water 1 mL/mL IRRIGANT	B.	16 CONTAINER in 1 CASE (0264-2101-00) / 1...	1 mL/mL	0.002	—	● Active	PDAC
00338-0048-04	SODIUM CHLORIDE 900 mg/100mL IRRIGANT	Baxter	12 BOTTLE, PLASTIC in 1 CARTON (0338-0048-...	900 mg/100mL	0.002	—	● Active	PDAC
00338-0013-06	Sterile Water 100 mL/100mL INJECTION, SOLUTION	Baxter	2000 mL in 1 BAG (0338-0013-06)	100 mL/100mL	0.002	—	● Active	PDAC
00338-0013-08	Sterile Water 100 mL/100mL INJECTION, SOLUTION	Baxter	3000 mL in 1 BAG (0338-0013-08)	100 mL/100mL	0.002	—	● Active	PDAC
00338-0013-29	Sterile Water 100 mL/100mL INJECTION, SOLUTION	Baxter	5000 mL in 1 BAG (0338-0013-29)	100 mL/100mL	0.002	—	● Active	PDAC
00338-0047-27	Sodium Chloride 900 mg/100mL IRRIGANT	Baxter	4 BAG in 1 CARTON (0338-0047-27) / 3000 m...	900 mg/100mL	0.002	—	● Active	PDAC
00338-0047-29	Sodium Chloride 900 mg/100mL IRRIGANT	Baxter	2 BAG in 1 CARTON (0338-0047-29) / 5000 m...	900 mg/100mL	0.002	—	● Active	PDAC
00338-0047-44	Sodium Chloride 900 mg/100mL IRRIGANT	Baxter	14 BAG in 1 CARTON (0338-0047-44) / 1000...	900 mg/100mL	0.002	—	● Active	PDAC
00338-0047-46	Sodium Chloride 900 mg/100mL IRRIGANT	Baxter	6 BAG in 1 CARTON (0338-0047-46) / 2000 m...	900 mg/100mL	0.002	—	● Active	PDAC
00338-0047-47	Sodium Chloride 900 mg/100mL IRRIGANT	Baxter	4 BAG in 1 CARTON (0338-0047-47) / 3000 m...	900 mg/100mL	0.002	—	● Active	PDAC
00338-0048-02	SODIUM CHLORIDE 900 mg/100mL IRRIGANT	Baxter	24 BOTTLE, PLASTIC in 1 CARTON (0338-0048-...	900 mg/100mL	0.002	—	● Active	PDAC
00338-0048-03	SODIUM CHLORIDE 900 mg/100mL IRRIGANT	Baxter	18 BOTTLE, PLASTIC in 1 CARTON (0338-0048-...	900 mg/100mL	0.002	—	● Active	PDAC
00338-0050-47	Sodium Chloride 900 mg/100mL SOLUTION	Baxter	4 BAG in 1 CARTON (0338-0050-47) / 3000 m...	900 mg/100mL	0.002	—	● Active	PDAC
00338-0004-04	Sterile Water 100 mL/100mL IRRIGANT	Baxter	12 BOTTLE, PLASTIC in 1 CARTON (0338-0004-...	100 mL/100mL	0.002	—	● Active	PDAC
57896-0001-01	AQUA CARE STERILE WATER	Unknown	—	—	0.002	—	—	PDAC
57896-0001-10	AQUA CARE STERILE WATER	Unknown	—	—	0.002	—	—	PDAC
57896-0002-50	AQUA CARE STERILE SALINE 0.9%	Unknown	—	—	0.002	—	—	PDAC
57896-0002-25	AQUA CARE STERILE SALINE 0.9%	Unknown	—	—	0.002	—	—	PDAC
57896-0002-12	AQUA CARE STERILE SALINE 0.9%	Unknown	—	—	0.002	—	—	PDAC
57896-0002-10	AQUA CARE STERILE SALINE 0.9%	Unknown	—	—	0.002	—	—	PDAC
57896-0001-12	AQUA CARE STERILE WATER	Unknown	—	—	0.002	—	—	PDAC
57896-0001-25	AQUA CARE STERILE WATER	Unknown	—	—	0.002	—	—	PDAC
57896-0002-01	AQUA CARE STERILE SALINE 0.9%	Unknown	—	—	0.002	—	—	PDAC
57896-0001-50	AQUA CARE STERILE WATER	Unknown	—	—	0.002	—	—	PDAC
00409-7990-09	WATER FOR INJECTION (LIFECARE,PF,LATEX-FREE)	Unknown	—	—	0.002	—	—	PDAC
00409-6138-22	SODIUM CHLORIDE (AQUALITE, 24X250ML,PF) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00409-7972-05	SODIUM CHLORIDE (FLEXIBLE CONTAINER,PF) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00409-7118-07	WATER FOR IRRIGATION (BULK PACKAGE,PF)	Unknown	—	—	0.002	—	—	PDAC
00409-7973-07	WATER FOR IRRIGATION (FLEXIBLE, CONTAINER,PF)	Unknown	—	—	0.002	—	—	PDAC
00409-7973-08	WATER FOR IRRIGATION (4X3000ML,PF,LATEX-FREE)	Unknown	—	—	0.002	—	—	PDAC
00409-7138-36	SODIUM CHLORIDE (AQUALITE,9X1500ML,PF) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00409-6138-03	SODIUM CHLORIDE (USP,AQUALITE,PF) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00409-7972-08	SODIUM CHLORIDE (FLEX CONTAINER,4X3000ML) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00409-7138-09	SODIUM CHLORIDE (AQUALITE,12X1000ML,PF) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00409-6139-03	WATER FOR IRRIGATION (AQUALITE, U.S.P.)	Unknown	—	—	0.002	—	—	PDAC
00409-7139-36	WATER FOR IRRIGATION (AQUALITE)	Unknown	—	—	0.002	—	—	PDAC
00409-6139-22	WATER FOR IRRIGATION (AQUALITE, U.S.P.)	Unknown	—	—	0.002	—	—	PDAC
00409-7972-07	SODIUM CHLORIDE (FLEX CONTAINER,6X2000ML) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00409-7973-05	WATER FOR IRRIGATION (FLEXIBLE CONTAINER,PF)	Unknown	—	—	0.002	—	—	PDAC
00409-7139-09	WATER FOR IRRIGATION (AQUALITE W/HANGER,PF)	Unknown	—	—	0.002	—	—	PDAC
00264-2101-50	WATER FOR IRRIGATION (PIC CONTAINER)	Unknown	—	—	0.002	—	—	PDAC
00264-2101-70	WATER FOR IRRIGATION (PIC CONTAINER)	Unknown	—	—	0.002	—	—	PDAC
00264-2201-50	SODIUM CHLORIDE (PIC CONTAINER) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00264-2201-70	SODIUM CHLORIDE (PIC CONTAINER) 0.9%	Unknown	—	—	0.002	—	—	PDAC
00338-0048-05	SODIUM CHLORIDE 0.9%	Unknown	—	—	0.002	—	—	PDAC
00338-0004-05	WATER FOR IRRIGATION	Unknown	—	—	0.002	—	—	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

$1.17M

Medicare paid

$897.7K

Submitted services

572,210

Denial rate

37.1%

Allowed / service

$3.25

Submitted charges

$3.53M

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.

🗺️ Where A4217 is utilized

⏳

The geographic utilization map is building for this code — it aggregates millions of CMS Part B claim lines, then caches the result. Refresh in a moment; if it doesn’t appear, this code may have no reportable Part B utilization.

📊 What bills under A4217

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

Water 8

Sodium Chloride 4

SODIUM CHLORIDE 4

sodium chloride 2

water 1

WATER 1

NDC products by labeler

Baxter Healthcare Corporation 5

B. Braun Medical Inc. 4

ICU Medical Inc. 4

Baxter Healthcare Company 3

Fresenius Kabi USA, LLC 3

Liebel-Flarsheim Company LLC 1

🗃️ 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)

85 NDCs mapped

NADAC acquisition cost

CMS National Average Drug Acquisition Cost (weekly)

Not 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.

❓ A4217 billing FAQ

What is HCPCS code A4217?

A4217 is a HCPCS Level II J-code used to bill STERILE WATER/SALINE, 500 ML under Medicare Part B and most medical (not pharmacy) benefits.

Which NDCs bill under A4217?

85 NDCs currently map to A4217 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 A4217 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.