Home
Career Stage
Medical Students Residents Attendings CPT Codes Resources Blog Support

A4436 Irr supply sleev reus per mo

A Codes

Also known as: reusable irrigation sleeve, colostomy irrigation sleeve

Irrigation supply reusable sleeve per month.

In Plain Language

washable irrigation bag sleeve; monthly reusable pouch

Clinical Context

Used for colostomy patients performing irrigation for continence management. Reusable sleeve reduces long-term costs and environmental impact.

RVU Information

CPT A4436 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

General SurgeryColorectal SurgeryNursing

Frequently Asked Questions

What is CPT code A4436?

CPT A4436 (Irr supply sleev reus per mo) is a A Codes code. Irrigation supply reusable sleeve per month.

Does Medicare cover A4436?

Medicare coverage for A4436 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for colostomy patients performing irrigation for continence management. Reusable sleeve reduces long-term costs and environmental impact. A physician order is typically required.

When is CPT A4436 used?

Used for colostomy patients performing irrigation for continence management. Reusable sleeve reduces long-term costs and environmental impact.

Track This Code in RVU Edge

Log procedures, calculate wRVUs, and benchmark against national data — all in one app.

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.