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A4398 Ostomy irrigation bag

A Codes

Also known as: irrigation bag, solution reservoir

Ostomy irrigation bag, a reservoir used to hold irrigation solution for colostomy irrigation procedures.

In Plain Language

water container for colostomy washing; irrigation supply container

Clinical Context

Used in colostomy irrigation for bowel management. Allows controlled flow of irrigating solution into colon.

RVU Information

CPT A4398 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 SurgeryNursingOstomy

Frequently Asked Questions

What is CPT code A4398?

CPT A4398 (Ostomy irrigation bag) is a A Codes code. Ostomy irrigation bag, a reservoir used to hold irrigation solution for colostomy irrigation procedures.

Does Medicare cover A4398?

Medicare coverage for A4398 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in colostomy irrigation for bowel management. Allows controlled flow of irrigating solution into colon. A physician order is typically required.

When is CPT A4398 used?

Used in colostomy irrigation for bowel management. Allows controlled flow of irrigating solution into colon.

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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.