HCPCS code A4459 — Transanal irrigation, any. Status: Active. Effective Oct 1, 2025. Source: CMS HCPCS Level II.

A4459

Active

Transanal irrigation, any

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

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Oct 1, 2025
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A4459 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 1
Outpatient Hospital 1
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2025-Q4
    Transanal irrigation, any
  • Revised 2025-Q2
    Manual pump enema, reusable
    Transanal irrigation, any