A4436 HCPCS Level II code: Irrigation supply; sleeve, reusable, per month
A4436 is the HCPCS code for “Irrigation supply; sleeve, reusable, per month” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4436Irrigation supply; sleeve, reusable, per month
Short description: Irr supply sleev reus per mo
HCPCS · United States
Medicare details
The indicators CMS publishes with A4436 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, 2022
Where A4436 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4436Irrigation supply; sleeve, reusable, per month
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 A4436 mean?
A4436 is the HCPCS code for “Irrigation supply; sleeve, reusable, per month” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4436?
CMS lists A4436’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 A4436
All A codesA4430Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), eachA4431Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), eachA4432Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), eachA4433Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), eachA4434Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), eachA4435Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, eachA4437Irrigation supply; sleeve, disposable, per monthA4438Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, eachA4450Tape, non-waterproof, per 18 square inchesA4452Tape, waterproof, per 18 square inchesA4453Rectal catheter with or without balloon, for use with any type transanal irrigation system, eachA4455Adhesive remover or solvent (for tape, cement or other adhesive), per ounce