A4459 HCPCS Level II code: Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type
A4459 is the HCPCS code for “Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4459Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type
Short description: Transanal irrigation, manual
HCPCS · United States
Medicare details
The indicators CMS publishes with A4459 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
- Jan 1, 2015
Where A4459 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4459Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type
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 A4459 mean?
A4459 is the HCPCS code for “Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4459?
CMS lists A4459’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 A4459
All A codesA4452Tape, 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 ounceA4456Adhesive remover, wipes, any type, eachA4457Enema tube, with or without adapter, any type, replacement only, eachA4458Enema bag with tubing, reusableA4461Surgical dressing holder, non-reusable, eachA4463Surgical dressing holder, reusable, eachA4465Non-elastic binder for extremityA4466Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, eachA4467Belt, strap, sleeve, garment, or covering, any typeA4468Exsufflation belt, includes all supplies and accessories