A4457 – Enema tube, with or without adapter, any type, replacement only, each
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4457
- Long description
- Enema tube, with or without adapter, any type, replacement only, each
- Short description
- Enema tube any type repl
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
SNon-covered by Medicare statute- BETOS category
Z2Undefined codes- Added
- January 1, 2024
- Last change
- January 1, 2024 – No change
Frequently asked questions
What is HCPCS code A4457?
A4457 is a HCPCS Level II code for enema tube, with or without adapter, any type, replacement only, each.
Does Medicare cover A4457?
The HCPCS file lists coverage code S: Non-covered by Medicare statute. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
- 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
- A4453 – Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
- A4455 – Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
- A4456 – Adhesive remover, wipes, any type, 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
- A4466 – Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each
- A4467 – Belt, strap, sleeve, garment, or covering, any type
- A4468 – Exsufflation belt, includes all supplies and accessories
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.