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A4802 — Protamine sulfate, for hemodialysis, per 50 mg

HCPCS Level II A-code · short descriptor: “Protamine sulfate per 50 mg”

Code system
HCPCS Level II
Family
A — Medical & surgical supplies, ambulance
Medicare coverage status
Special coverage instructions apply
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Common denial codes to watch

CO-50 medical necessity

Related A-codes

A4860A4870A4890

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