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See a sample rate comparisonHCPCS A4870 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Plumbing and/or electrical work for home hemodialysis equipment
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Dialysis Equipment and Supplies |
| Complexity Level | Low |
National average reimbursement for HCPCS A4870 by major payers:
$30.71
$54.94
$37.28
$159.00
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HCPCS A4870
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See a sample payer proposalHCPCS A4870 vs. Other Dialysis Equipment and Supplies Codes
The HCPCS A4870 code is part of the Medical And Surgical Supplies services used for Dialysis Equipment and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4870 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A4860-HCPCS | Low | Disposable catheter tips for peritoneal dialysis, per 10 |
| A4870-HCPCS | Low | Plumbing and/or electrical work for home hemodialysis equipment |
| A4890-HCPCS | Moderate | Contracts, repair and maintenance, for hemodialysis equipment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4870. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4870 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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