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A4397

Irrigation supply sleeve

Irrigation supply; sleeve, each

Code system
HCPCS Level II
Status
Retired 2022-01-01
Billable
No
In effect from
1990-01-01

This code is no longer in use: it was retired on 2022-01-01. No replacement code is listed here.

Request
curl https://api.healthcare.dev/v1/codes/hcpcs/A4397 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "A4397",
    "parent": null,
    "status": "retired",
    "system": "hcpcs",
    "display": "Irrigation supply sleeve",
    "billable": false,
    "attributes": {
      "betos": "D1F",
      "coverage": "D",
      "action_code": "N",
      "type_of_service": "P",
      "pricing_indicator": "37",
      "action_effective_date": "2022-01-01"
    },
    "description": "Irrigation supply; sleeve, each",
    "replaced_by": [],
    "effective_end": "2022-01-01",
    "effective_start": "1990-01-01",
    "care_categories": [
      "ostomy-supplies"
    ],
    "care_category_details": [
      {
        "slug": "ostomy-supplies",
        "name": "Ostomy supplies",
        "confidence": 0.95,
        "derivation": "source_stated",
        "evidence": [
          {
            "url": "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update",
            "anchor": "HCPCS Level II range A4361-A4437"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

A4397 in the HCPCS file

betos
D1F
coverage
D
action code
N
type of service
P
pricing indicator
37
action effective date
2022-01-01

Change history

Lifecycle

A4397 has been in effect since 1990-01-01 and was retired on 2022-01-01. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up A4397 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/A4397 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code A4397. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.