A4563 HCPCS Level II code: Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each
A4563 is the HCPCS code for “Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4563Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each
Short description: Vag inser rectal control sys
HCPCS · United States
Medicare details
The indicators CMS publishes with A4563 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, 2019
Where A4563 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4563Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type 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 A4563 mean?
A4563 is the HCPCS code for “Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4563?
CMS lists A4563’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 A4563
All A codesA4557Lead wires, (e.g., apnea monitor), per pairA4558Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per ozA4559Coupling gel or paste, for use with ultrasound device, per ozA4560Neuromuscular electrical stimulator (nmes), disposable, replacement onlyA4561Pessary, reusable, rubber, any typeA4562Pessary, reusable, non rubber, any typeA4564Pessary, disposable, any typeA4565SlingsA4566Shoulder sling or vest design, abduction restrainer, with or without swathe control, prefabricated, includes fitting and adjustmentA4570SplintA4575Topical hyperbaric oxygen chamber, disposableA4580Cast supplies (e.g., plaster)