US · guidance
CMS SOM App. H, Tag V240
ANSI/AAMI RD52:2004 Requirements as Adopted by Reference 42 CFR 494.40(a)
5.5.4 Bicarbonate concentrate distribution systems (Ultraviolet Irradiation)
UV irradiation devices that are used to control bacteria proliferation in the pipes of
bicarbonate concentrate distribution systems should be fitted with a low-pressure mercury
lamp that emits light at a wavelength of 254 nm and provides a dose of radiant energy of 30
milliwatt- sec/cm2. The device should be sized for the maximum anticipated flow rate
according to the manufacturer’s instructions and be equipped with an on-line monitor of
radiant energy output that activates a visual alarm indicating that the lamp should be
replaced.
Alternatively, the lamp should be replaced on a predetermined schedule according to the
manufacturer’s instructions to maintain the recommended radiant energy output.
Disinfection of the bicarbonate concentrate distribution system should continue to be
performed routinely.
Interpretive Guidance § 494.40(a)
This requirement applies to UV irradiators used in the bicarbonate delivery system, rather than
to an UV irradiator used in the water treatment/distribution system. A facility may have an UV
irradiator in one system, and not in the other. The UV irradiator in the bicarbonate delivery
system may also be used to help breakdown the ozone used to disinfect the bicarbonate delivery
system.
History
Rev.
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
ab7f9fb2536b1467b0344c93c70cfd9eb172d8bb93f28f056b766347a29d33ee
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