Home Drug Codes A Codes A4216 · Sodium Chloride Flush
Updated July 1st, 2026

Sodium Chloride Flush A Code: A4216

Sterile water, saline and/or dextrose, diluent/flush, 10 ml

Login to unlock all benchmarks
Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
Login to view
NDCs Crosswalked ?
1
View NDC crosswalk →

Drug & Product Overview

HCPCS Descriptor Sterile water, saline and/or dextrose, diluent/flush, 10 ml
HCPCS Added Date January 1, 2004
Manufacturer Guerbet
Route of Administration Intravascular
Generic Status Single-Source; Branded
Dosage Form Injection

About Sodium Chloride Flush

Sodium Chloride Flush is a medication aligned to the HCPCS A Code: A4216 for billing, pricing, and reimbursement purposes in the United States. It is a Misc. drug administered via the intravascular route and manufactured by Guerbet.

Manufacturers, reach out to us to add more information.

NDC Code Information

1 NDC package is crosswalked to A4216. Package detail is available to logged-in subscribers.

Login to view 1 NDC package View pricing, complete NDC-to-HCPCS alignments, and package details.
Login →

Sodium Chloride Flush Pricing & Reimbursement

A4216 Private Payer Reimbursement
$0.43 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Sodium Chloride Flush CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour
96361 Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

CMS does not include Sodium Chloride Flush (A4216) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A4216. Wastage billing guide →

Sodium Chloride Flush Medically Unlikely Edits (MUE)

The most billing units of A4216 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 10 ml. The limit is different in the office and the hospital. Use the one for your setting.

Practitioner Office
0 units / day
Not payable in this setting
Hospital Outpatient
25 units / day
= 250 ml per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

ml Enter a dose to see how many billing units it is and whether it is under the limit.

Sodium Chloride Flush Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

flushing compatible contrast agents through intravenous administration sets
Drug Class
Increased Large Intestinal Motility [PE]Inhibition Large Intestine Fluid/Electrolyte Absorption [PE]Osmotic Activity [MoA]Osmotic Laxative [EPC]

Login for BuyandBill.com Analytics

Unlock deeper insights with BuyandBill’s Comparative Report!

  • Compare ASP, WAC, and AWP across drugs.
  • Visualize Drug Price Movement Over Time
  • Tailor reports to drug class, manufacturer, or HCPCS Code.
  • Compare Biosimilar and 505(b)(2) products.

Frequently Asked Questions

Is there an available Sodium Chloride Flush billing and coding guide?
We have not yet identified a manufacturer source of Sodium Chloride Flush billing and coding information.
Are there any available Sodium Chloride Flush patient assistance programs?
Our team did not identify a source for Sodium Chloride Flush patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Sodium Chloride Flush prescribing information?
Sodium Chloride Flush prescribing information can be found at the link below. Visit Here →
Where can I find Sodium Chloride Flush side effect information?
Our team has not yet identified a source of side effects information for Sodium Chloride Flush.
Does billing Sodium Chloride Flush require JZ/JW wastage modifiers?
This product is new and does not yet appear on the CMS list of HCPCS pertaining to single-dose containers.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.