A4459 Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type

Short descriptor: Transanal irrigation, any

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A4459 is the HCPCS Level II code for Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type (2026). It belongs to Section A — Transportation, Medical & Surgical Supplies. Under Medicare, its coverage status is: Carrier judgment. Part B pricing methodology: Orthotics, prosthetics & vision services.

Classification & CMS Attributes

Medicare Coverage
Carrier judgment (code C)
Part B Pricing
Orthotics, prosthetics & vision services (indicator 38)
Type of Service
Lump-sum purchase of DME, prosthetics, orthotics
Effective Date
2025-10-01
2026 Maintenance
No change this year

References

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Reference A4459 with the canonical source and edition:

A4459 — Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/A4459

Canonical URL: https://icd10codingpro.com/hcpcs-codes/A4459

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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