A4453 – Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4453
- Long description
- Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
- Short description
- Rec cath any transanal, each
- Pricing indicator
38Orthotics, prosthetics, prosthetic devices & vision services- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
D1FProsthetic/Orthotic devices- Added
- October 1, 2021
- Last change
- October 1, 2025 – No change
Frequently asked questions
What is HCPCS code A4453?
A4453 is a HCPCS Level II code for rectal catheter with or without balloon, for use with any type transanal irrigation system, each.
Does Medicare cover A4453?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
- A4433 – Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each
- A4434 – Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each
- A4435 – Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each
- A4436 – Irrigation supply; sleeve, reusable, per month
- A4437 – Irrigation supply; sleeve, disposable, per month
- A4438 – Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each
- A4450 – Tape, non-waterproof, per 18 square inches
- A4452 – Tape, waterproof, per 18 square inches
- A4455 – Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
- A4456 – Adhesive remover, wipes, any type, each
- A4457 – Enema tube, with or without adapter, any type, replacement only, each
- A4458 – Enema bag with tubing, reusable
- A4459 – Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type
- A4461 – Surgical dressing holder, non-reusable, each
- A4463 – Surgical dressing holder, reusable, each
- A4465 – Non-elastic binder for extremity
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.