A4453 HCPCS Level II code: Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
A4453 is the HCPCS code for “Rectal catheter with or without balloon, for use with any type transanal irrigation system, each” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4453Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
Short description: Rec cath any transanal, each
HCPCS · United States
Medicare details
The indicators CMS publishes with A4453 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Oct 1, 2021
Where A4453 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4453Rectal catheter with or without balloon, for use with any type transanal irrigation system, 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
What does HCPCS code A4453 mean?
A4453 is the HCPCS code for “Rectal catheter with or without balloon, for use with any type transanal irrigation system, each” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4453?
CMS lists A4453’s Medicare coverage as “Carrier judgment” and its pricing as “DMEPOS fee schedule – Orthotics, prosthetics, prosthetic devices & vision services (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 A4453
All A codesA4435Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, eachA4436Irrigation supply; sleeve, reusable, per monthA4437Irrigation 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 inchesA4455Adhesive remover or solvent (for tape, cement or other adhesive), per ounceA4456Adhesive remover, wipes, any type, eachA4457Enema tube, with or without adapter, any type, replacement only, eachA4458Enema bag with tubing, reusableA4459Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any typeA4461Surgical dressing holder, non-reusable, each