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A4399 Ostomy irrig cone/catheter w brs

A Codes +Add-on

Also known as: irrigation cone, irrigation catheter

Ostomy irrigation cone or catheter with brush, a cone-tipped or catheter device with brush attachment used for colostomy irrigation.

In Plain Language

colostomy irrigation probe; stoma irrigation tip

Clinical Context

Inserted into stoma to deliver irrigation solution safely. Cone provides seal while brush aids introduction.

RVU Information

CPT A4399 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 A4399?

CPT A4399 (Ostomy irrig cone/catheter w brs) is a A Codes code. Ostomy irrigation cone or catheter with brush, a cone-tipped or catheter device with brush attachment used for colostomy irrigation.

Does Medicare cover A4399?

Medicare coverage for A4399 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Inserted into stoma to deliver irrigation solution safely. Cone provides seal while brush aids introduction. A physician order is typically required.

When is CPT A4399 used?

Inserted into stoma to deliver irrigation solution safely. Cone provides seal while brush aids introduction.

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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.