A4397 HCPCS Level II code: Irrigation supply; sleeve, each
CMS terminated A4397: its last date of service was Dec 31, 2021. It stays here for looking up older claims; newer services need a current code.
Official description
A4397Irrigation supply; sleeve, each
Short description: Irrigation supply sleeve
HCPCS · United States
Medicare details
The indicators CMS publishes with A4397 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- DMEPOS fee schedule – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Jan 1, 1990
- Terminated after
- Dec 31, 2021
Where A4397 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Terminated A4397Irrigation supply; sleeve, each
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
Is HCPCS code A4397 still valid?
No. CMS terminated A4397; its last date of service was Dec 31, 2021. It is listed for looking up services from before then. Use a current code for newer services.
Does Medicare cover A4397?
CMS lists A4397’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside A4397
All A codesA4391Ostomy pouch, urinary, with extended wear barrier attached (1 piece), eachA4392Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), eachA4393Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), eachA4394Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounceA4395Ostomy deodorant for use in ostomy pouch, solid, per tabletA4396Ostomy belt with peristomal hernia supportA4398Ostomy irrigation supply; bag, eachA4399Ostomy irrigation supply; cone/catheter, with or without brushA4400Ostomy irrigation setA4402Lubricant, per ounceA4404Ostomy ring, eachA4405Ostomy skin barrier, non-pectin based, paste, per ounce