A4459 Transanal irrigation, any
Also known as: transanal irrigation kit, colonic irrigation supplies
Transanal irrigation supply system for bowel management.
In Plain Language
bowel washing system; rectal irrigation kit
Clinical Context
Used for bowel continence management, particularly in neurogenic bowel patients. Transanal irrigation promotes predictable bowel emptying and reduces accidents.
RVU Information
CPT A4459 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
Frequently Asked Questions
What is CPT code A4459?
CPT A4459 (Transanal irrigation, any) is a A Codes code. Transanal irrigation supply system for bowel management.
Does Medicare cover A4459?
Medicare coverage for A4459 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for bowel continence management, particularly in neurogenic bowel patients. Transanal irrigation promotes predictable bowel emptying and reduces accidents. A physician order is typically required.
When is CPT A4459 used?
Used for bowel continence management, particularly in neurogenic bowel patients. Transanal irrigation promotes predictable bowel emptying and reduces accidents.
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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.