Table of content for "Transanal irrigation, any" (HCPCS A4459)
General information on the “A4459” code
HCPCS Code: A4459
Long Description: Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type
Short Description: Transanal irrigation, any
Original information is taken from A4459 page
Pricing indicators
Pricing Indicator Code 1: 46 – Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20150101
Code Effective Date: 20250401
Action Code: N – No maintenance for this code