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A4470

A4470Gravlee jet washer

HCPCSActiveBETOS D1A

A4470 is a HCPCS Level II code for gravlee jet washer. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Special coverage instructions apply

There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Physician fee schedule statusP

Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.

Global period: XXX

Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.

Medically Unlikely Edits — units per day

The most units of A4470 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.

practitioner
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy
outpatient
1 unit
MAI 3 — Date of Service Edit: Clinical · Nature of Equipment
DME supplier
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy

The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.

The CMS record for A4470

Long descriptor
Gravlee jet washer

The official wording. This is what the code means.

Short descriptor
Gravlee jet washer

CMS's 28-character form, which is what shows up on a remittance advice.

Added
January 1, 1986

When CMS introduced the code.

BETOS
D1A

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
00 — Not priced by Part B

Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.

Codes adjacent to A4470

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A4470 is not quite right, the correct code is very often within a few positions of it.

  • A4458Enema bag with tubing, reusable
  • A4459Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type
  • A4461Surgical dressing holder, non-reusable, each
  • A4463Surgical dressing holder, reusable, each
  • A4465Non-elastic binder for extremity
  • A4466Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, eachterminated
  • A4467Belt, strap, sleeve, garment, or covering, any type
  • A4468Exsufflation belt, includes all supplies and accessories
  • A4479Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type
  • A4480Vabra aspirator
  • A4481Tracheostoma filter, any type, any size, each
  • A4483Moisture exchanger, disposable, for use with invasive mechanical ventilation
  • A4490Surgical stockings above knee length, each
  • A4495Surgical stockings thigh length, each
  • A4500Surgical stockings below knee length, each
  • A4510Surgical stockings full length, each

Questions about A4470

What is HCPCS code A4470?

A4470 is a HCPCS Level II code for gravlee jet washer. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.

Does Medicare cover A4470?

The CMS HCPCS file marks A4470 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.

How is A4470 paid under the physician fee schedule?

A4470 carries PFS status code P. Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.

HCPCS Level II2026Q3-Jul· effective July 1, 2026