HCPCS Code A4459

Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type
Short DescriptionTransanal irrigation, any
Year2026
Coverage CodeC = Carrier judgment
Action CodeP = Payment change (MOG, pricing indicator codes, anesthesia base units, Ambulatory Surgical Centers)
Action Effective DateOctober 01, 2025
Code Added DateJanuary 01, 2015
Pricing Indicator38 = Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics