A4457 HCPCS code: Enema tube, with or without adapter, any type, replacement only, each
A4457 is the HCPCS Level II code for enema tube, with or without adapter, any type, replacement only, each. Its Medicare coverage code is S (Non-covered by Medicare statute): Medicare is barred by law from covering it.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | S — Non-covered by Medicare statute |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2024-01-01 |
| Last action effective | 2024-01-01 |
Related codes Medicare does pay
Medicare does not pay under A4457. These codes in the same A44 family carry a current DMEPOS fee:
- A4400 — Ostomy irrigation set: $59.20–$90.97
- A4402 — Lubricant, per ounce: $1.93–$5.70
- A4404 — Ostomy ring, each: $2.03–$2.60
- A4405 — Ostomy skin barrier, non-pectin based, paste, per ounce: $4.87–$5.76
- A4406 — Ostomy skin barrier, pectin-based, paste, per ounce: $8.16–$9.78
- A4407 — Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each: $12.48–$14.94
- A4408 — Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each: $14.07–$16.87
- A4409 — Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each: $8.84–$10.60
What changed for A4457
- 2024-01-01: A4457 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A4457?
A4457 is the HCPCS Level II code for enema tube, with or without adapter, any type, replacement only, each. Short descriptor: "Enema tube any type repl".
Does Medicare cover A4457?
Coverage code S — Non-covered by Medicare statute. Medicare is barred by law from covering it.
Which related codes does Medicare pay instead of A4457?
Codes in the same A44 family with a DMEPOS fee include A4400 ($59.20–$90.97), A4402 ($1.93–$5.70), A4404 ($2.03–$2.60). Check the item matches the code's descriptor before billing.
Related A44 codes
- A4400 — Ostomy irrigation set ($59.20–$90.97)
- A4402 — Lubricant, per ounce ($1.93–$5.70)
- A4404 — Ostomy ring, each ($2.03–$2.60)
- A4405 — Ostomy skin barrier, non-pectin based, paste, per ounce ($4.87–$5.76)
- A4406 — Ostomy skin barrier, pectin-based, paste, per ounce ($8.16–$9.78)
- A4407 — Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ($12.48–$14.94)
- A4408 — Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ($14.07–$16.87)
- A4409 — Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ($8.84–$10.60)
- A4410 — Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ($12.88–$15.43)
- A4411 — Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ($7.26–$8.70)
- A4412 — Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ($3.86–$4.56)
- A4413 — Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ($7.85–$9.44)
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Next steps
- Run a reimbursement report for a device billed under A4457
- Watch A4457 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A4457
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.