Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type
Code effective Oct 01, 2025
HCPCS Section
Transportation Services Including Ambulance, Medical & Surgical Supplies
A4459 is a valid 2026 HCPCS code meaning Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type or (Transanal irrigation, any) for short. HCPCS A4459 has been effective since 10/01/2025 and applies to Lump sum purchase of DME, prosthetics, orthotics.
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HCPCS Level II Code Section A - Transportation Services Including Ambulance, Medical & Surgical Supplies |
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| HCPCS Code | A4459 |
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| Description |
Long description:
Short description: |
| HCPCS Pricing indicator |
38 - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
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| Multiple pricing indicator |
A - Not applicable as HCPCS priced under one methodology
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| Coverage code | C - Carrier judgment |
| BETOS2 code | D1F - Prosthetic/Orthotic devices |
| HCPCS Action code | N - No maintenance for this code |
| Type of service | P - Lump sum purchase of DME, prosthetics, orthotics |
| Effective date | Effective Oct 01, 2025 |
| Date added | Added Jan 01, 2015 |
1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).
2 BETOS stands for “Berenson-Eggers Type Of Service”
HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026
CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.