A4453 — Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
A4453 is a HCPCS Level II code for rectal catheter with or without balloon, for use with any type transanal irrigation system, each. 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 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
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 A4453
- Long descriptor
- Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
- Short descriptor
- Rec cath any transanal, each
- Added
- October 1, 2021
- 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 A4453
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A4453 is not quite right, the correct code is very often within a few positions of it.
- A4433Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each
- A4434Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each
- A4435Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each
- A4436Irrigation supply; sleeve, reusable, per month
- A4437Irrigation supply; sleeve, disposable, per month
- A4438Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each
- A4450Tape, non-waterproof, per 18 square inches
- A4452Tape, waterproof, per 18 square inches
- A4455Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
- A4456Adhesive remover, wipes, any type, each
- A4457Enema tube, with or without adapter, any type, replacement only, each
- 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
Questions about A4453
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. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A4453?
The CMS HCPCS file marks A4453 as "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.
How is A4453 paid under the physician fee schedule?
A4453 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.