A4397 — Irrigation supply; sleeve, each
A4397 is a HCPCS Level II code for irrigation supply; sleeve, each. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. It was terminated on December 31, 2021 and is not valid on new claims.
This code has been terminated
CMS terminated A4397 on December 31, 2021. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
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.
The CMS record for A4397
- Long descriptor
- Irrigation supply; sleeve, each
- Short descriptor
- Irrigation supply sleeve
- Added
- January 1, 1990
- Terminated
- December 31, 2021
- BETOS
- D1F
- Pricing indicator
- 37 — 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.
When CMS retired it.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Ostomy, tracheostomy and urological supplies. Price subject to floors and ceilings.
Codes adjacent to A4397
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A4397 is not quite right, the correct code is very often within a few positions of it.
- A4389Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each
- A4390Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
- A4391Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each
- A4392Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each
- A4393Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each
- A4394Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce
- A4395Ostomy deodorant for use in ostomy pouch, solid, per tablet
- A4396Ostomy belt with peristomal hernia support
- A4398Ostomy irrigation supply; bag, each
- A4399Ostomy irrigation supply; cone/catheter, with or without brush
- A4400Ostomy irrigation set
- A4402Lubricant, per ounce
- A4404Ostomy ring, each
- A4405Ostomy skin barrier, non-pectin based, paste, per ounce
- A4406Ostomy skin barrier, pectin-based, paste, per ounce
- A4407Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each
Questions about A4397
What is HCPCS code A4397?
A4397 is a HCPCS Level II code for irrigation supply; sleeve, each. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A4397?
The CMS HCPCS file marks A4397 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.
Is A4397 still valid?
No. A4397 was terminated on December 31, 2021 and should not be used on new claims.