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A4337 Incontinent rectal insert

A Codes

Also known as: rectal plug, fecal continence device

Incontinent rectal insert, a reusable or single-use device inserted into the rectum to provide continence by blocking fecal output.

In Plain Language

bowel blocker; rectal containment device

Clinical Context

Used in patients with fecal incontinence from spinal cord injury, neurological disease, or muscle dysfunction. Worn during day and removed for bowel movements.

RVU Information

CPT A4337 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.

Specialties

Colorectal SurgeryNeurology

Frequently Asked Questions

What is CPT code A4337?

CPT A4337 (Incontinent rectal insert) is a A Codes code. Incontinent rectal insert, a reusable or single-use device inserted into the rectum to provide continence by blocking fecal output.

Does Medicare cover A4337?

Medicare coverage for A4337 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in patients with fecal incontinence from spinal cord injury, neurological disease, or muscle dysfunction. Worn during day and removed for bowel movements. A physician order is typically required.

When is CPT A4337 used?

Used in patients with fecal incontinence from spinal cord injury, neurological disease, or muscle dysfunction. Worn during day and removed for bowel movements.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.