A4399 – Ostomy irrigation supply; cone/catheter, with or without brush
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4399
- Long description
- Ostomy irrigation supply; cone/catheter, with or without brush
- Short description
- Ostomy irrig cone/cath w brs
- Pricing indicator
37Ostomy, tracheostomy and urological supplies- Medicare coverage
DSpecial coverage instructions apply- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 1989
- Last change
- January 1, 2011 – No change
Frequently asked questions
What is HCPCS code A4399?
A4399 is a HCPCS Level II code for ostomy irrigation supply; cone/catheter, with or without brush.
Does Medicare cover A4399?
The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
- A4391 – Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each
- A4392 – Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each
- A4393 – Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each
- A4394 – Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce
- A4395 – Ostomy deodorant for use in ostomy pouch, solid, per tablet
- A4396 – Ostomy belt with peristomal hernia support
- A4397 – Irrigation supply; sleeve, each
- A4398 – Ostomy irrigation supply; bag, each
- A4400 – Ostomy irrigation set
- A4402 – Lubricant, per ounce
- A4404 – Ostomy ring, each
- A4405 – Ostomy skin barrier, non-pectin based, paste, per ounce
- A4406 – Ostomy skin barrier, pectin-based, paste, per ounce
- A4407 – Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each
- A4408 – Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each
- A4409 – Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.