A4399 HCPCS Level II code: Ostomy irrigation supply; cone/catheter, with or without brush
A4399 is the HCPCS code for “Ostomy irrigation supply; cone/catheter, with or without brush” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4399Ostomy irrigation supply; cone/catheter, with or without brush
Short description: Ostomy irrig cone/cath w brs
HCPCS · United States
Medicare details
The indicators CMS publishes with A4399 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, 1989
Where A4399 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4399Ostomy irrigation supply; cone/catheter, with or without brush
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
What does HCPCS code A4399 mean?
A4399 is the HCPCS code for “Ostomy irrigation supply; cone/catheter, with or without brush” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4399?
CMS lists A4399’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 A4399
All A codesA4393Ostomy 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 supportA4397Irrigation supply; sleeve, eachA4398Ostomy irrigation supply; bag, eachA4400Ostomy irrigation setA4402Lubricant, per ounceA4404Ostomy ring, eachA4405Ostomy skin barrier, non-pectin based, paste, per ounceA4406Ostomy skin barrier, pectin-based, paste, per ounceA4407Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each