A4479: Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type
A4479 is a HCPCS Level II code for electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. 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.
The CMS record for A4479
- Long descriptor
- Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type
- Short descriptor
- Transanal irrigation, electr
- Added
- April 1, 2026
- BETOS
- D1F
- Pricing indicator
- 38: DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Orthotics, prosthetics, prosthetic devices and vision services. Price subject to floors and ceilings.
Codes adjacent to A4479
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If A4479 is not quite right, the correct code is very often within a few positions of it.
- 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
- A4470Gravlee jet washer
- 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
- A4520Incontinence garment, any type, (e.g., brief, diaper), each